Jerry R. Ellis DDS PC

General Practice Dentistry · Midlothian, TX

Individual Active NPI

NPI number 1073516365

Practice location

404 W Main St
Midlothian, TX 76065-2946
Phone
(972) 775-2345
Fax
(972) 775-4729

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NPI record

NPI
1073516365
Entity type
Individual (Type 1)
Enumeration date
May 31, 2005
Last updated
March 9, 2023
Certified
March 9, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 13742 TX

About Jerry Ellis DDS PC

Jerry R. Ellis DDS PC is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 404 W Main St, Midlothian, TX 76065-2946. The NPI number 1073516365 was assigned on May 31, 2005 and the record was last updated on March 9, 2023.

Jerry Ellis DDS PC lists a license in the registry: #13742 (TX) 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 Jerry R. Ellis DDS PC?

The NPI number is 1073516365.

What is the phone number of Jerry Ellis DDS PC?

The phone number listed for the practice location is (972) 775-2345.

Where is Jerry Ellis DDS PC located?

404 W Main St, Midlothian, TX 76065-2946.

What is the taxonomy code for Jerry Ellis DDS PC?

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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