| Dr Eli George Ellis Jr, DDS | |
|
911 Market St, Port Gibson, MS 39150 | |
| (601) 437-5221 | |
| Not Available |
| Full Name | Dr Eli George Ellis Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 911 Market St, Port Gibson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326113135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1099-63 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eli George Ellis Jr, DDS Po Box 237, Port Gibson, MS 39150-0237 Ph: (601) 437-5670 | Dr Eli George Ellis Jr, DDS 911 Market St, Port Gibson, MS 39150 Ph: (601) 437-5221 |
Dr. Latoya Denise Colenberg Eakins, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2045 Highway 61 N, Port Gibson, MS 39150 Phone: 601-437-3050 Fax: 601-437-3057 | |
Keith D Bishop, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2045 Highway 61 North, Port Gibson, MS 39150 Phone: 601-437-3050 Fax: 601-437-3051 |