Richard T. Ellison, Dds, INC

NPI #1740661834 in Muncie, Indiana

Provider Information

NPI Number
1740661834
Entity Type
Organization
Organization Name
Richard T. Ellison, Dds, INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 15, 2015
Last Updated
Jun 15, 2015

Practice Location

Address
1602 W JACKSON ST
City
Muncie
State
Indiana
ZIP Code
47303-4962
Phone
(765) 289-0236

Authorized Official

Name
SHERRI J RICHARDSON
Title
OFFICE MANAGER
Phone
(765) 289-0236

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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