| Randall A. Ellis, Dds, Pllc | |
|
312 Arkansas Blvd Texarkana AR 71854-1905 | |
| (870) 772-1374 | |
| (870) 774-6814 |
| Full Name | Randall A. Ellis, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 312 Arkansas Blvd, Texarkana, Arkansas |
| Authorized Official Name and Position | Randall Allen Ellis (OWNER/DENTIST) |
| Authorized Official Contact | 8707721374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall A. Ellis, Dds, Pllc 312 Arkansas Blvd Texarkana AR 71854-1905 Ph: (870) 772-1374 | Randall A. Ellis, Dds, Pllc 312 Arkansas Blvd Texarkana AR 71854-1905 Ph: (870) 772-1374 |
| NPI Number | 1336831874 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336831874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Texarkana Division Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-774-7645 Fax: 870-773-7647 | |
William Todd Hegmann Dds, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 E 35th St, Texarkana, AR 71854 Phone: 870-773-3119 Fax: 870-772-7347 | |
Kevin B Seddens Ddspllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Dudley St, Texarkana, AR 71854 Phone: 870-330-7350 Fax: 870-330-7347 | |
Arklatex Family Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Pecan St, Texarkana, AR 71854 Phone: 870-779-0411 | |
Michael Wharton-palmer Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-774-3278 Fax: 870-772-4593 |