Provider Demographics
NPI:1417017948
Name:ELROD, JOSEPH W JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:W
Last Name:ELROD
Suffix:JR
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 1:7516 RIGHT FLANK RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-3827
Mailing Address - Country:US
Mailing Address - Phone:804-746-1300
Mailing Address - Fax:804-730-4149
Practice Address - Street 1:7516 RIGHT FLANK RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3827
Practice Address - Country:US
Practice Address - Phone:804-746-1300
Practice Address - Fax:804-730-4149
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice