Jerald Elrod, DDS

NPI 1639108715 · on the registry since 2006 · sole proprietor

Practice

Address: 17500 Medical Center Pkwy
Suite 2
Independence, MO 64057
Phone: (816) 373-6006
Fax: (816) 373-1840
Organisation at this address: Independence Pediatrics Pc
Robert N. Hanson D.D.S., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri