NPI 1255501854

Jason Paul Elliott DDS LLC

Organisation Dental Clinic/Center Linthicum, MD

Practice location

Address: 809 N Hammonds Ferry Rd, Linthicum, MD 21090-1317
Phone: (410) 789-6111
Mailing address: 1202 Harbor Island Walk, Baltimore, MD 21230-5460

Authorised official

Name: Jason Paul Elliott
Title: Member
Phone: (443) 622-3180

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 12815 (MD)

Other Clinic/Center providers in Maryland →

Registry record

NPI: 1255501854
Entity type: Organization
NPI issued: 10 Mar 2008
Record last updated: 10 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.