Cherryl Sue Ellison, DDS

General Practice Dentistry · Seymour, IN

Individual Active NPI

NPI number 1407414956

Practice location

105 Community Dr Ste a
Seymour, IN 47274-1955
Phone
(812) 272-4602

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NPI record

NPI
1407414956
Entity type
Individual (Type 1)
Enumeration date
May 30, 2019
Last updated
January 14, 2020
Certified
January 14, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 104713 CA
Dentist 122300000X 12013148A IN

Mailing address

3312 E Roy Schmalz Ct
Bloomington, IN 47401-4445

About Dr. Ellison

Cherryl Sue Ellison, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 105 Community Dr Ste a, Seymour, IN 47274-1955. The NPI number 1407414956 was assigned on May 30, 2019 and the record was last updated on January 14, 2020.

Dr. Ellison lists 2 licenses in the registry: #104713 (CA) for General Practice Dentistry; #12013148A (IN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cherryl Sue Ellison, DDS?

The NPI number is 1407414956.

What is the phone number of Dr. Ellison?

The phone number listed for the practice location is (812) 272-4602.

Where is Dr. Ellison located?

105 Community Dr Ste a, Seymour, IN 47274-1955.

What is the taxonomy code for Dr. Ellison?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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