Provider Demographics
NPI:1821568841
Name:MCELWEE, ELIZABETH ASHLEY (RDH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ASHLEY
Last Name:MCELWEE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ASHLEY
Other - Last Name:ECONOMUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH, EFDA
Mailing Address - Street 1:501 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-7209
Mailing Address - Country:US
Mailing Address - Phone:724-852-1001
Mailing Address - Fax:724-627-0726
Practice Address - Street 1:501 W HIGH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-7209
Practice Address - Country:US
Practice Address - Phone:724-852-1001
Practice Address - Fax:724-627-0726
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH073138124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist