Provider Demographics
NPI:1558149682
Name:KALLI D ELFORD, DMD, PC
Entity Type:Organization
Organization Name:KALLI D ELFORD, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KALLI
Authorized Official - Middle Name:D
Authorized Official - Last Name:ELFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:406-490-1508
Mailing Address - Street 1:1061 CREEKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-8197
Mailing Address - Country:US
Mailing Address - Phone:406-490-1508
Mailing Address - Fax:
Practice Address - Street 1:6516 US HIGHWAY 93 S
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-2916
Practice Address - Country:US
Practice Address - Phone:406-862-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental