DR. Sammy Dale Ellis, DMD
NPI #1639112345 in Snellville, Georgia
Provider Information
- NPI Number
- 1639112345
- Entity Type
- Individual
- Name
- DR. Sammy Dale Ellis, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DMD
- Enumeration Date
- Jun 13, 2006
- Last Updated
- Dec 11, 2012
Practice Location
- Address
- 2221 KNOLLWOOD DRIVE
- City
- Snellville
- State
- Georgia
- ZIP Code
- 30078
- Phone
- (770) 972-7911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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|---|---|
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