DR. Eli George Ellis JR., DDS
NPI #1326113135 in Port Gibson, Mississippi
Provider Information
- NPI Number
- 1326113135
- Entity Type
- Individual
- Name
- DR. Eli George Ellis JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 911 MARKET ST
- City
- Port Gibson
- State
- Mississippi
- ZIP Code
- 39150
- Phone
- (601) 437-5221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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