ELIJAH DON OLIVERSON DDS NPI 1629700091

NPI Information

NPI: 1629700091
Provider Name: ELIJAH DON OLIVERSON, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1093 HANCOCK RD
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 758-5588
Get Directions

Elijah Don Oliverson, DDS is a general practice dentist in Bullhead City, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Elijah Don Oliverson, DDS NPI is 1629700091. 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:

1093 HANCOCK RD
BULLHEAD CITY, AZ
ZIP 86442-904
Phone: (928) 758-5588

The enumeration date for this NPI number is 6/25/2022 and was last updated on 6/25/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	D011477	ARIZONA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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