ELLIOT PROFESSIONAL SERVICES NPI 1255314951

NPI Information

ELLIOT PROFESSIONAL SERVICES is an oral and maxillofacial surgery dentist in Manchester, NH. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ELLIOT PROFESSIONAL SERVICES NPI is 1255314951. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Elliot Oms Center.

The provider's business location address is:

1 ELLIOT WAY
ELLIOT OMS CENTER
MANCHESTER, NH
ZIP 03103-502
Phone: (603) 625-8462
Fax: (603) 669-2711

The provider's authorized official is Richard P. Herman .
The authorized official title is Director Of Operations And Finance and has the following contact phone number (603) 663-4904.

The enumeration date for this NPI number is 11/28/2005 and was last updated on 6/20/2008.

Taxonomy Codes

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Other Identifiers

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