Joseph M. Ellis DDS

NPI 1093863185 - Dentist - 1223G0001X

NPI Details
NPI 1093863185
Gender Male
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2251 E PARIS AVE SE
GRAND RAPIDS MI, 49546-2431, US
Phone (616) 949-7290
Fax (616) 949-6108
Business Location
2251 E PARIS AVE SE
GRAND RAPIDS MI, 49546-2431, US
Phone (616) 949-7290
Fax (616) 949-6108
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 014927
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According to our database, Dr. Joseph M. Ellis DDS NPI is 1093863185, taxonomy code is 1223G0001X and license number is 014927, license state is located at Michigan. Joseph M. Ellis DDS physically located at 2251 E Paris Ave Se, Grand Rapids MI, 49546-2431. NPI Number Joseph M. Ellis DDS has the Individual type.

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1093863185 NPI number is provided on an as is basis without warranty of any kind. 1093863185 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph M. Ellis DDS are for informational purposes only.