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MICHAEL D ELLIOTT DMD PC
NPI 1386939148
Dentist - Oral and Maxillofacial Surgery in Mesa, AZ

Active since June 09, 2011
564 W 9TH PL, SUITE ONE, MESA, AZ 85201(480) 833-8064(480) 962-8263 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael D Elliott Dmd Pc NPPES

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

MICHAEL D ELLIOTT DMD PC (NPI 1386939148) is a healthcare organization registered as an oral and maxillofacial surgery in Mesa, Arizona and active in the NPI registry since June 2011. The organization lists Krystle Winkelman, Manager, as its authorized official.

NPPES Registry Identity

NPI1386939148
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMICHAEL D ELLIOTT DMD PC
Location Address564 W 9TH PL, SUITE ONEMesa, AZ 85201-4069
Mailing Address564 W 9th Pl, Suite OneMesa, AZ 85201-4069 · (480) 833-8064 · Fax (480) 962-8263
Phone(480) 833-8064
Fax(480) 962-8263
Organization SubpartNo
Authorized OfficialKrystle WinkelmanManager · (480) 833-8064
Enumeration DateJune 9, 2011
✔ NPI 1386939148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AZ · 2410
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

564 W 9TH PL, Mesa, AZ 85201
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Other Identifiers 4

Other2410AZ · Dental License
Medicare PINZ526684932AZ
Medicaid083353AZ
Medicare UPINT76900AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL DOTSON ELLIOTT D.M.D.
Dentist (Oral and Maxillofacial Surgery)
564 W 9TH PL, SUITE 1
MESA, AZ 85201
Maricopa County (480) 833-8064
DR. M KENT MOORE M.D.
Ophthalmology
564 W 9TH PL, STE 3
MESA, AZ 85201
Maricopa County (480) 834-3868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael D Elliott Dmd PC's NPI number?

The NPI number for Michael D Elliott Dmd PC is 1386939148. It was assigned to this organization in the NPPES registry on June 9, 2011.

Where is Michael D Elliott Dmd PC located?

Michael D Elliott Dmd PC is located at 564 W 9th Pl Suite One, Mesa, AZ 85201. The listed phone number is (480) 833-8064.

What is Michael D Elliott Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Michael D Elliott Dmd PC was last updated on June 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.