| Ellis Dental | |
|
2725 Ellis Ave Fort Worth TX 76164-7106 | |
| (817) 759-9858 | |
| Not Available |
| Full Name | Ellis Dental |
|---|---|
| Speciality | Dentist |
| Location | 2725 Ellis Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Ray Weber (SUPPORT SPECIALIST) |
| Authorized Official Contact | 3147538154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Dental 1422 Elbridge Payne Rd Ste 240 Chesterfield MO 63017-8544 | Ellis Dental 2725 Ellis Ave Fort Worth TX 76164-7106 Ph: (817) 759-9858 |
| NPI Number | 1518434570 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 10/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518434570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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