Provider Demographics
NPI:1285648527
Name:ELMS, TROY NEIL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:NEIL
Last Name:ELMS
Suffix:
Gender:M
Credentials:DDS, MS
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Other - First Name:
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Mailing Address - Street 1:1501 EMERALD PKWY
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5551
Mailing Address - Country:US
Mailing Address - Phone:979-693-6300
Mailing Address - Fax:979-695-9815
Practice Address - Street 1:1501 EMERALD PKWY
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5551
Practice Address - Country:US
Practice Address - Phone:979-693-6300
Practice Address - Fax:979-695-9815
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX160481223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics