DR. Justin Ryan Ellis, DDS
NPI #1588192868 in Livingston, Tennessee
Provider Information
- NPI Number
- 1588192868
- Entity Type
- Individual
- Name
- DR. Justin Ryan Ellis, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 31, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 215 OAK ST
- City
- Livingston
- State
- Tennessee
- ZIP Code
- 38570-1726
- Phone
- (931) 823-5517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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