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Search › Wisconsin › Oral and Maxillofacial Surgery (Dentist)

Charles Ellis, DDS, MD

NPI 1013098698 · on the registry since 2006 · sole proprietor

Practice

Address
2353 S Ridge Road
Green Bay, WI 54304
Phone
(920) 499-0471
Fax
(920) 499-8312
Organisation at this address
Bay Oral Surgery & Implant Center, Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
Dentist
Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery (Dentist)
Oral & Maxillofacial Surgery (D.M.D.)
Oral & Maxillofacial Surgery (D.M.D.)
Licence states on file
NC, VA, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin