DR. Charles Lee Ellis, DDS, MD
NPI #1013098698 in Green Bay, Wisconsin
Provider Information
- NPI Number
- 1013098698
- Entity Type
- Individual
- Name
- DR. Charles Lee Ellis, DDS, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS, MD
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Aug 20, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Oral & Maxillofacial Surgery |
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