DR. Virgil Edward Ellis III, D.D.S.

NPI #1326059122 in Conway, Arkansas

Provider Information

NPI Number: 1326059122
Entity Type: Individual
Name: DR. Virgil Edward Ellis III, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 405 HOGAN LN
Address 2: SUITE 2
City: Conway
State: Arkansas
ZIP Code: 72034-8201
Phone: (501) 329-1994

Specialties & Taxonomy Codes

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

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