NPI 1437114246

Philip B Elledge, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Huntsville, AL

Practice location

Address: 2314 Pansy St SW, Huntsville, AL 35801-3803
Phone: (256) 534-5028
Fax: (256) 534-5073

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 5313C (AL)

Other Oral & Maxillofacial Surgery providers in Alabama →

Registry record

NPI: 1437114246
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2006
Record last updated: 15 Aug 2007

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.