Robert Stephen Ellis, D.D.S.

General Practice Dentistry · Laurel, MS

Individual Active NPI

NPI number 1124274394

Practice location

1434 - Parker Drive
Laurel, MS 39440-1942
Phone
(601) 649-3335
Fax
(601) 426-6318

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NPI record

NPI
1124274394
Entity type
Individual (Type 1)
Enumeration date
August 7, 2008
Last updated
August 7, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 1711-76 MS

About Dr. Ellis

Robert Stephen Ellis, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1434 - Parker Drive, Laurel, MS 39440-1942. The NPI number 1124274394 was assigned on August 7, 2008 and the record was last updated on August 7, 2008.

Dr. Ellis lists a license in the registry: #1711-76 (MS) 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 Robert Stephen Ellis, D.D.S.?

The NPI number is 1124274394.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (601) 649-3335.

Where is Dr. Ellis located?

1434 - Parker Drive, Laurel, MS 39440-1942.

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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