DR. MARY JUNE ELLIOTT DDS
NPI 1316395312
Dentist in Jefferson City, MO

Q: What is Mary Elliott's NPI number?

The NPI number for Mary Elliott is 1316395312. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Q: What is Mary Elliott's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Elliott was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 31, 2016PECOS Enrolled

3400 W TRUMAN BLVD, JEFFERSON CITY, MO 65109(573) 632-2777 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Mary June Elliott Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY JUNE ELLIOTT DDS (NPI 1316395312) is an individual dentist in Jefferson City, Missouri, licensed in Missouri (2016016878) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316395312

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. MARY JUNE ELLIOTTCredential: DDS

Location Address3400 W TRUMAN BLVDJefferson City, MO 65109-5712

Mailing Address3400 W Truman BlvdJefferson City, MO 65109-5712

Phone(573) 632-2777

Sole ProprietorNo

Enumeration DateMay 31, 2016

Last NPPES UpdateJanuary 24, 2017

✔ NPI 1316395312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2016016878

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3400 W TRUMAN BLVD, Jefferson City, MO 65109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary June Elliott Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE CATHERINE BAUMHOER

Nurse Practitioner (Family)