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Search › Missouri › General Practice Dentistry

Ellie Severance, DDS

NPI 1063254381 · on the registry since 2024 · sole proprietor

Practice

Address
404 N 4th St
Odessa, MO 64076
Phone
(573) 691-7700
Organisation at this address
Odessa Family Dental, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-07

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 Missouri