| Spencer A. Ellis | |
|
170 Scott High Dr Huntsville TN 37756-4152 | |
| (423) 663-4444 | |
| (423) 663-4439 |
| Full Name | Spencer A. Ellis |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 170 Scott High Dr, Huntsville, Tennessee |
| Authorized Official Name and Position | Spencer A. Ellis (OWNER) |
| Authorized Official Contact | 4236634444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer A. Ellis Po Box 209 Huntsville TN 37756-0209 Ph: (423) 663-4444 | Spencer A. Ellis 170 Scott High Dr Huntsville TN 37756-4152 Ph: (423) 663-4444 |
| NPI Number | 1194900464 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194900464 | NPI | - | NPPES |
| 3139906 | Other | TN | BLUE CROSS BLUE SHEILD |
Appalachian Life Quality Initistive Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Court Street, Huntsville, TN 37756 Phone: 423-663-8200 Fax: 423-663-8544 |