Provider Demographics
NPI:1841379039
Name:NAJJAR, ELLIAS MOUSSA (DDS)
Entity Type:Individual
Prefix:
First Name:ELLIAS
Middle Name:MOUSSA
Last Name:NAJJAR
Suffix:
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 1:10184 W BELLEVIEW AVE
Mailing Address - Street 2:#220
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80210
Mailing Address - Country:US
Mailing Address - Phone:303-932-1077
Mailing Address - Fax:303-932-0037
Practice Address - Street 1:10184 W BELLEVIEW AV
Practice Address - Street 2:#220
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:303-932-1077
Practice Address - Fax:303-932-0037
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO70731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice