| NPI | 1194900464 |
|---|---|
| Doing Business As | ELLIS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SPENCER A. ELLIS Owner 423-663-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS7646) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2023-10-02 |