DR. THOMAS JERRY ELLIOTT SR.


Address: 17 West Jackson St., Cicero, IN 46034
Phone: 3179845676

DR. THOMAS JERRY ELLIOTT SR. (NPI# 1689710170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689710170
Entity Type Individual
Full Name DR. THOMAS JERRY ELLIOTT SR.
Credential D.D.S.
Practice Address 17 West Jackson St.
Cicero
IN 46034
Practice Telephone 3179845676
Practice Fax Number 3179845677
Mailing Telephone 3179845676
Mailing Fax Number 3179845677
Enumeration Date 2007-01-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
12008852 IN Dental Providers

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1609372606 Thomas Robert Elliott Student in an Organized Health Care Education/Training Program 1800 Orleans St, Baltimore, MD 21287-0010 2018-03-30
1245638345 Thomas Elliott Counselor 1215 Sw G St, Grants Pass, OR 97526-2544 2014-12-05
1366878274 Thomas Scott Elliott Pharmacist 3325 Robinhood Rd, Winston Salem, NC 27106-5403 2013-09-24
1194976779 Thomas N Elliott Psychologist 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 2008-10-01
1912116617 Thomas Brice Elliott Psychologist 47 1st St, Redlands, CA 92373-4601 2007-05-21
1639222011 Thomas Elliott Dentist 545 E 142nd St, Bronx, NY 10454-2110 2007-01-19
1740333913 Thomas R. Elliott Jr. Chiropractor 7110 S Mingo Rd Ste 107, Tulsa, OK 74133-3273 2007-01-19

Office Location

Street Address 17 WEST JACKSON ST.
City CICERO
State IN
Zip Code 46034

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548486905 Mark R Montgomery Dentist 130 W Jackson St, Cicero, IN 46034 2007-04-17
1144285719 Mary Angela Shirley Social Worker 209 S Peru St, Ste 210-211, Cicero, IN 46034 2006-04-18
1164486601 Nancy Leah Shirley Social Worker 209 S Peru Street, Suite 210 211, Cicero, IN 46034 2006-04-13
1700867827 Richard Edward Hayes Family Medicine 1160 S. Peru Street, S.r. 19, Cicero, IN 46034 2005-11-07
1306251897 Jon Purkey Specialist/Technologist 230 Washington Avenue, Cicero, IN 46034-0321 2014-06-24
1477836070 Myrtie B Mays Specialist 22345 Schulley Rd, Cicero, IN 46034-8800 2011-09-21
1609002724 Hoosier Dentures & Dental Surgery, LLC Clinic/Center 1200 S Peru St, Cicero, IN 46034-9161 2009-06-03
1710549142 Julie Baber Technician 1180 Coral Springs Dr, Cicero, IN 46034-9214 2019-07-05
1669592572 Shelley Kunkel Developmental Therapist 1215 Coral Springs Dr, Cicero, IN 46034-9217 2007-04-02
1467572297 Allison Labrie Specialist 1010 W Morse Dr, Cicero, IN 46034-9238 2007-03-29
Find all providers in zip 46034

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568712123 Monil P Shah Dmd PC Dentist 5539 W Cermak Road, Cicero, IL 60804 2012-09-11
1780949461 Aryn Nicole Pittman Dentist 2254 S Cicero Ave, Cicero, IL 60804-2411 2012-07-10
1558633958 Arif Samee, Dds Chtd Dentist 1639 S Cicero Ave, Cicero, IL 60804-1520 2012-01-31
1154615557 Timothy Jeffrey Rogers Dentist 6130 W Cermak Rd, Cicero, IL 60804-2025 2011-06-02
1184915415 3 Stone Dental Dentist 5663 E Circle Dr, Suite 600, Cicero, NY 13039-8907 2011-04-20
1447494646 Precision Dental Care 2, LLC Dentist 5317 W Cermak Rd, Cicero, IL 60804-2817 2009-05-01
1043487432 Allcare Dental & Dentures of Ny PC Dentist 5663 E Circle Dr # D 6/7, Suite 600, Cicero, NY 13039-8907 2008-05-14
1154533180 Koushan Haidarzadeh Azad Dentist 2240 S Cicero Ave, Cicero, IL 60804-2411 2007-05-03
1568595551 Jefferson Dental Services,p.c. Dentist 8397 Brewerton Rd (us Route 11), Cicero, NY 13039 2007-03-13
1669500112 New Country Dental Group Dentist 5972 Route 31, Cicero, NY 13039 2007-02-28
Find all providers in CICERO

Competitor

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City CICERO
Zip Code 46034

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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