Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elliott T. Deweese, DMD, MSD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013304724

Dr. Elliott T. Deweese, DMD, MSD is a Student in an Organized Health Care Education/Training Program in Hermitage, Tennessee. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5651 Frist Blvd Ste 314
Hermitage, TN 37076-2057
Phone: (615) 316-9872
Fax: (615) 885-9065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 021-002881 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013304724
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MSD
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022

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