DR. Burke Lee Ellzey JR., DMD
NPI #1992313951 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1992313951
- Entity Type
- Individual
- Name
- DR. Burke Lee Ellzey JR., DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 16, 2020
- Last Updated
- Jul 16, 2020
Practice Location
- Address
- 949 BROADWAY DR
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-7534
- Phone
- (601) 271-7300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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