| Jerry R Ellis Dds Pc | |
|
404 W Main St Midlothian TX 76065-2946 | |
| (972) 775-2345 | |
| Not Available |
| Full Name | Jerry R Ellis Dds Pc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 404 W Main St, Midlothian, Texas |
| Authorized Official Name and Position | Jerry R Ellis (OWNER/DENTIST) |
| Authorized Official Contact | 9727752345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry R Ellis Dds Pc 404 W Main St Midlothian TX 76065-2946 Ph: (972) 775-2345 | Jerry R Ellis Dds Pc 404 W Main St Midlothian TX 76065-2946 Ph: (972) 775-2345 |
| NPI Number | 1982304267 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 8325410517 |
|---|---|
| Medicare Enrollment ID | O20230216001899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982304267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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