Kerisa Sue Elloway is a Fortuna, California based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kerisa Sue Elloway is 47254 for Pediatric Dentistry in California. Her current practice location is 1730 Main St, Suite A, Fortuna. Patients can reach her at 707-725-1303.
Kerisa Sue Elloway provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Kerisa Sue Elloway speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kerisa Sue Elloway
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1730 Main St, Suite A, Fortuna, California, 95540-2451
Phone:
707-725-1303
Fax:
707-725-1358
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1154452324
NPI Enumeration Date:
08 Mar, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kerisa Sue Elloway are as mentioned below.
License Number
Specialization
State
Status
47254
Pediatric Dentistry
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1730 Main St Ste A, Fortuna, California
Zip:
95540-2451
Phone Number:
707-725-1303
Fax Number:
707-725-1358
Patients can reach Kerisa Sue Elloway at 1730 Main St, Suite A, Fortuna, California or can call to book an appointment on 707-725-1303. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.