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Dr. Elliott T. Deweese, DMD,MSD
Periodontist in Hermitage, Tennessee
NPI 1013304724

Elliott T. Deweese is a Periodontist based in Hermitage, TN and is specialized in Periodontics. Elliott T. Deweese practices in Hermitage, TN and has the professional credentials of DMD,MSD. The NPI Number for Elliott T. Deweese is 1013304724 and holds a License No. (Tennessee).

The current practice location address for Elliott T. Deweese is 5651 Frist Blvd Ste 314, Hermitage, TN and can be reached out via phone at 615-316-9872 and via fax at 615-885-9065.

Location: 5651 Frist Blvd Ste 314, Hermitage, TN, 37076-2057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013304724
Provider Name
Elliott T. Deweese
Credential
DMD,MSD
Provider Entity Type
Individual
Gender
Male
Address
5651 Frist Blvd Ste 314, Hermitage, TN, 37076-2057
Phone Number
615-316-9872
Fax Number
615-885-9065
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5651 Frist Blvd Ste 314
City
Hermitage
State
Tennessee
Zip
37076-2057
Phone Number
615-316-9872
Fax Number
615-885-9065
person
Provider Business Mailing Address Details
Address
5651 Frist Blvd Ste 314
City
Hermitage
State
Tennessee
Zip
37076-2057
Phone Number
615-316-9872
Fax Number
615-885-9065
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
021-002881 (Illinois)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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