Jerry Ross Ellis D.D.S.

NPI 1073516365 - Dentist - 1223G0001X

NPI Details
NPI 1073516365
Gender Male
Enumeration Date 05/31/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
404 W MAIN ST
MIDLOTHIAN TX, 76065-2946, US
Phone (972) 775-2345
Fax (972) 775-4729
Business Location
404 W MAIN ST
MIDLOTHIAN TX, 76065-2946, US
Phone (972) 775-2345
Fax (972) 775-4729
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 13742
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According to our database, Dr. Jerry Ross Ellis D.D.S. NPI is 1073516365, taxonomy code is 1223G0001X and license number is 13742, license state is located at Texas. Jerry Ross Ellis D.D.S. physically located at 404 W Main St, Midlothian TX, 76065-2946. NPI Number Jerry Ross Ellis D.D.S. has the Individual type.

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1073516365 NPI number is provided on an as is basis without warranty of any kind. 1073516365 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Ross Ellis D.D.S. are for informational purposes only.