Provider Demographics
NPI:1518288109
Name:ARMSTRONG, ELIZABETH MARLER (DMD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARLER
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:LYNN
Other - Last Name:MARLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:504 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:PICKENS
Mailing Address - State:SC
Mailing Address - Zip Code:29671-2610
Mailing Address - Country:US
Mailing Address - Phone:864-878-7915
Mailing Address - Fax:864-878-7960
Practice Address - Street 1:504 HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:PICKENS
Practice Address - State:SC
Practice Address - Zip Code:29671-2610
Practice Address - Country:US
Practice Address - Phone:864-878-7915
Practice Address - Fax:864-878-7960
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4704122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist