Jerry R Ellis DDS PC
NPI #1982304267 in Midlothian, Texas
Provider Information
- NPI Number
- 1982304267
- Entity Type
- Organization
- Organization Name
- Jerry R Ellis DDS PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Mar 6, 2023
- Last Updated
- Apr 20, 2023
Practice Location
- Address
- 404 W MAIN ST
- City
- Midlothian
- State
- Texas
- ZIP Code
- 76065-2946
- Phone
- (972) 775-2345
Authorized Official
- Name
- DR. JERRY R ELLIS, DDS
- Title
- OWNER/DENTIST
- Phone
- (972) 775-2345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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