Provider Demographics
NPI:1114924271
Name:ELFORD, ANTHONY JAMES (DDS)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:JAMES
Last Name:ELFORD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 E 22ND AVE
Mailing Address - Street 2:BLDG F
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2989
Mailing Address - Country:US
Mailing Address - Phone:541-344-6371
Mailing Address - Fax:541-344-5451
Practice Address - Street 1:622 E 22ND AVE
Practice Address - Street 2:BLDG F
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405
Practice Address - Country:US
Practice Address - Phone:541-344-6371
Practice Address - Fax:541-344-5451
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD78901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice