DR. Teresa Eileen Ellis, D.D.S.
NPI #1568545119 in Crossville, Tennessee
Provider Information
- NPI Number
- 1568545119
- Entity Type
- Individual
- Name
- DR. Teresa Eileen Ellis, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Feb 28, 2012
Practice Location
- Address
- 1720 WEST AVE
- Address 2
- SUITE 106
- City
- Crossville
- State
- Tennessee
- ZIP Code
- 38555-4066
- Phone
- (931) 784-3007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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