SearchMississippi1223G0001X

Robert Ellis, D.D.S

NPI 1124274394 · on the registry since 2008

Practice

Address
1434 - Parker Drive
Laurel, MS 39440
Phone
(601) 649-3335
Fax
(601) 426-6318

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-07

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 Mississippi