Search › Colorado › 1223G0001X
Randall Ellis, DDS
NPI 1427026095 · on the registry since 2006
Practice
- Address
- 2859 E Fountain Blvd
Colorado Springs, CO 80910 - Phone
- (719) 442-0071
- Fax
- (719) 473-5303
- Organisation at this address
- M&T Dental Services
Dr. Steven Alan Gould Dds Pc
Springs Smiles Youth Dentistry, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
1223G0001X - Licence states on file
- CO, ID, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-01
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 Colorado