Provider Demographics
NPI:1679633457
Name:ELLIOTT, JAMES ADAIR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ADAIR
Last Name:ELLIOTT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1007 LEGACY RANCH RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165
Mailing Address - Country:US
Mailing Address - Phone:972-635-5151
Mailing Address - Fax:469-212-1084
Practice Address - Street 1:1007 LEGACY RANCH RD
Practice Address - Street 2:SUITE #100
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:972-635-5151
Practice Address - Fax:469-212-1084
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX144961223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics