DR. Robert Stephen Ellis, D.D.S.

NPI #1124274394 in Laurel, Mississippi

Provider Information

NPI Number: 1124274394
Entity Type: Individual
Name: DR. Robert Stephen Ellis, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 7, 2008
Last Updated: Aug 7, 2008

Practice Location

Address: 1434 - PARKER DRIVE
City: Laurel
State: Mississippi
ZIP Code: 39440-1942
Phone: (601) 649-3335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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