| Ellis Family Dentistry | |
|
3416 Woodlawn St Hopewell VA 23860-4738 | |
| (804) 458-6733 | |
| Not Available |
| Full Name | Ellis Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3416 Woodlawn St, Hopewell, Virginia |
| Authorized Official Name and Position | Jonathan Hunter Ellis (DENTIST/OWNER) |
| Authorized Official Contact | 8044586733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Family Dentistry 3416 Woodlawn St Hopewell VA 23860-4738 Ph: (804) 458-6733 | Ellis Family Dentistry 3416 Woodlawn St Hopewell VA 23860-4738 Ph: (804) 458-6733 |
| NPI Number | 1023550233 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023550233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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