DR. Jerome C Ellis, DDS

NPI #1104137033 in Lima, Ohio

Provider Information

NPI Number: 1104137033
Entity Type: Individual
Name: DR. Jerome C Ellis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 25, 2010
Last Updated: Jun 25, 2010

Practice Location

Address: 230 N EASTOWN RD
City: Lima
State: Ohio
ZIP Code: 45807-2211
Phone: (419) 228-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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