Jerry R Ellis DDS PC

Customized Equipment (DME) · Midlothian, TX

Organization Active NPI

NPI number 1982304267

Practice location

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

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NPI record

NPI
1982304267
Entity type
Organization (Type 2)
Enumeration date
March 6, 2023
Last updated
April 20, 2023
Certified
April 20, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Customized Equipment (DME) Primary 332BC3200X — —
Dental Clinic/Center 261QD0000X — —

Authorized official

Name
Dr. Jerry R Ellis, DDS
Title
Owner/Dentist
Phone
(972) 775-2345

Other names

  • Jerry R Ellis DDS PC
  • Jerry R Ellis DDS PC

About Jerry R Ellis DDS PC

Jerry R Ellis DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy Customized Equipment (DME) (code 332BC3200X). The practice location is 404 W Main St, Midlothian, TX 76065-2946. The NPI number 1982304267 was assigned on March 6, 2023 and the record was last updated on April 20, 2023.

The authorized official for this organization is Dr. Jerry R Ellis, DDS, Owner/Dentist.

Frequently asked questions

What is the NPI number of Jerry R Ellis DDS PC?

The NPI number is 1982304267.

What is the phone number of Jerry R Ellis DDS PC?

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

Where is Jerry R Ellis DDS PC located?

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

What is the taxonomy code for Jerry R Ellis DDS PC?

The primary taxonomy code is 332BC3200X – Customized Equipment (DME); 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.