Jerry R Ellis DDS PC
NPI #1073516365 in Midlothian, Texas
Provider Information
- NPI Number
- 1073516365
- Entity Type
- Individual
- Name
- Jerry R Ellis DDS PC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 31, 2005
- Last Updated
- Mar 9, 2023
Practice Location
- Address
- 404 W MAIN ST
- City
- Midlothian
- State
- Texas
- ZIP Code
- 76065-2946
- Phone
- (972) 775-2345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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