MEDICARE: RHINA ELLIOT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	065291	NY

General Provider Information

NPI Number	:	1154171098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHINA ELLIOT DDS

Provider Business Mailing Address
First Line	:	333 GOSHEN AVE
Second Line	:
City	:	HAZLE TOWNSHIP
State	:	PA
Zip	:	18202-3649
Country	:	US
Telephone Number	:	347-779-5146
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 GOSHEN AVE
Second Line	:
City	:	HAZLE TOWNSHIP
State	:	PA
Zip	:	18202
Country	:	US
Telephone Number	:	347-779-5146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	01/21/2026

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