Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1679529705 Deactivated / Inactive NPI Male Practitioner

Dr. Phillip Elmo , DDS, AAFP

Dentist - Prosthodontics • Dublin, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Phillip Elmo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 26, 2006
NPI Deactivation Date October 25, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Elmo, DDS, AAFP was a registered Dentist - Prosthodontics practicing in Dublin, OH. Throughout an active medical career spanning 12 years, Dr. Elmo provided care at the practice location at 5155 BRADENTON AVE until profile deactivation on 2018-10-25.

Practice Location & Contact Primary Location

Practice Address

5155 Bradenton Ave
Ste# 110

Dublin, OH 430177558

Telephone 6147980083
Fax 6147649184
Associated Practice Facility / Clinic
🏢 Phillip Elmo D.d.s., Inc. Facility NPI 1366589103

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Dublin, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Dublin, OH (99 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License OH 17333

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Wayne Campagni , DMD

Dentist - Prosthodontics

NPI 1285769356

Doctor of Dental Medicine

NPI 1861519449

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 25, 2018

Record deactivated on October 25, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5155 BRADENTON AVE, STE# 110, DUBLIN, OH 430177558 (Tel: 6147980083)

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Updated Business Mailing Address July 08, 2007

Registered at 5155 BRADENTON AVE, STE# 110, DUBLIN, OH 430177558 (Tel: 6147980083)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHILLIP ELMO, D.D.S., A.A.F.P.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #17333 in OH)

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Initial NPI Registration & Enumeration May 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679529705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2006
Last Update: July 08, 2007
Deactivation Date: October 25, 2018

Mailing Address

5155 Bradenton Ave, Ste# 110

Dublin, OH 430177558

Phone: 6147980083

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.