DR. Scott Richard Ellis, DDS

NPI #1720343262 in Saint George, Utah

Provider Information

NPI Number: 1720343262
Entity Type: Individual
Name: DR. Scott Richard Ellis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 11, 2012
Last Updated: Jul 11, 2012

Practice Location

Address: 444 E TABERNACLE ST. #1
City: Saint George
State: Utah
ZIP Code: 84770
Phone: (435) 628-9099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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