Randall A. Ellis, D.D.S.

General Practice Dentistry · Texarkana, AR

Individual Active NPI

NPI number 1740328046

Practice location

312 Arkansas Blvd
Texarkana, AR 71854-1905
Phone
(870) 772-1374
Fax
(870) 774-6814

Open in Google Maps

NPI record

NPI
1740328046
Entity type
Individual (Type 1)
Enumeration date
February 1, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3050 AR

About Dr. Ellis

Randall A. 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 312 Arkansas Blvd, Texarkana, AR 71854-1905. The NPI number 1740328046 was assigned on February 1, 2007 and the record was last updated on July 8, 2007.

Dr. Ellis lists a license in the registry: #3050 (AR) 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 Randall A. Ellis, D.D.S.?

The NPI number is 1740328046.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (870) 772-1374.

Where is Dr. Ellis located?

312 Arkansas Blvd, Texarkana, AR 71854-1905.

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.

Other General Practice Dentistry providers in Texarkana

All General Practice Dentistry providers in Texarkana, AR →