DR. Lawrence C. Ellis, DDS, MSD

NPI #1932381415 in Dyer, Indiana

Provider Information

NPI Number: 1932381415
Entity Type: Individual
Name: DR. Lawrence C. Ellis, DDS, MSD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DDS, MSD
Enumeration Date: Nov 27, 2007
Last Updated: Nov 27, 2007

Practice Location

Address: 275 US HIGHWAY 30
Address 2: SUITE 260
City: Dyer
State: Indiana
ZIP Code: 46311-1776
Phone: (219) 322-7645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

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