DR. Ellie Severance, DDS

NPI #1063254381 in Odessa, Missouri

Provider Information

NPI Number
1063254381
Entity Type
Individual
Name
DR. Ellie Severance, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 7, 2024
Last Updated
Jun 7, 2024

Practice Location

Address
404 N 4TH ST
City
Odessa
ZIP Code
64076-1152
Phone
(573) 691-7700

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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