SearchIndiana122300000X

Robert Ellison

NPI 1407138837 · on the registry since 2011

Practice

Address
615 Professional Park Dr
New Haven, IN 46774
Phone
(260) 493-2113
Fax
(260) 493-1896
Organisation at this address
Natal Dental Llc
New Haven Dental Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-12

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 Indiana