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NPI Code Detail

MEDICARE: WILLIAM OTTO ELLIOTT DDS

MEDICARE:   WILLIAM OTTO ELLIOTT  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
1122300000XDentistDEN-DEN-LIC-33201MT

General Provider Information

NPI Number : 1568198299
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM OTTO ELLIOTT DDS
Provider Business Mailing Address
First Line : 2210 CENTRAL PL APT B
Second Line :
City : MISSOULA
State : MT
Zip : 59804-5125
Country : US
Telephone Number : 651-285-2797
Fax Number :
Provider Business Practice Location Address
First Line : 401 RAILROAD ST W
Second Line :
City : MISSOULA
State : MT
Zip : 59802-4178
Country : US
Telephone Number : 406-258-4185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2022
Last Update Date : 04/23/2026

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Directions to “ WILLIAM OTTO ELLIOTT DDS” Practice Location

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