Michael Roy Ellis DMD

NPI 1003968983 - Dentist - 1223G0001X

NPI Details
NPI 1003968983
Gender Male
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
789 FARMINGTON AVE
BRISTOL CT, 06010-3919, US
Phone (860) 583-6056
Fax
Business Location
789 FARMINGTON AVE
BRISTOL CT, 06010-3919, US
Phone (860) 583-6056
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 007856
Remove 1003968983 NPI Number
 

According to our database, Dr. Michael Roy Ellis DMD NPI is 1003968983, taxonomy code is 1223G0001X and license number is 007856, license state is located at Connecticut. Michael Roy Ellis DMD physically located at 789 Farmington Ave, Bristol CT, 06010-3919. NPI Number Michael Roy Ellis DMD has the Individual type.

Sponsored links

1003968983 NPI number is provided on an as is basis without warranty of any kind. 1003968983 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Roy Ellis DMD are for informational purposes only.