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PHILIP B ELLEDGE DMD NPI 1437114246


NPI Information

NPI: 1437114246
Provider Name: PHILIP B ELLEDGE, DMD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
2314 PANSY ST SW
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 534-5028
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Philip B Elledge, DMD is an oral maxillofacial surgery in Huntsville, AL. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Philip B Elledge, DMD NPI is 1437114246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2314 PANSY ST SW
HUNTSVILLE, AL
ZIP 35801-803
Phone: (256) 534-5028
Fax: (256) 534-5073

The enumeration date for this NPI number is 4/18/2006 and was last updated on 8/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial Surgery5313CALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U57382MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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