Michael Roy Ellis, DMD

General Practice Dentistry · Bristol, CT

Individual Active NPI

NPI number 1003968983

Practice location

789 Farmington Ave
Bristol, CT 06010-3919
Phone
(860) 583-6056

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NPI record

NPI
1003968983
Entity type
Individual (Type 1)
Enumeration date
January 18, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 007856 CT

About Dr. Ellis

Michael Roy Ellis, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 789 Farmington Ave, Bristol, CT 06010-3919. The NPI number 1003968983 was assigned on January 18, 2007 and the record was last updated on July 8, 2007.

Dr. Ellis lists a license in the registry: #007856 (CT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Roy Ellis, DMD?

The NPI number is 1003968983.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (860) 583-6056.

Where is Dr. Ellis located?

789 Farmington Ave, Bristol, CT 06010-3919.

What is the taxonomy code for Dr. Ellis?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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