DR. Michael Roy Ellis, DMD
NPI #1003968983 in Bristol, Connecticut
Provider Information
- NPI Number
- 1003968983
- Entity Type
- Individual
- Name
- DR. Michael Roy Ellis, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 789 FARMINGTON AVE
- City
- Bristol
- State
- Connecticut
- ZIP Code
- 06010-3919
- Phone
- (860) 583-6056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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