Provider Demographics
NPI:1154381242
Name:ELIOT, COLIN HILL (DDS)
Entity type:Individual
Prefix:DR
First Name:COLIN
Middle Name:HILL
Last Name:ELIOT
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 E OWEN K GARRIOTT RD STE L
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-6155
Mailing Address - Country:US
Mailing Address - Phone:580-237-1933
Mailing Address - Fax:405-340-5162
Practice Address - Street 1:1120 E OWEN K GARRIOTT RD STE L
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-6136
Practice Address - Country:US
Practice Address - Phone:580-237-1933
Practice Address - Fax:802-977-0165
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK57831223G0001X
OK761223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice