SearchTexasOrthodontics and Dentofacial Orthopedics Dentistry

Randy Ellis

NPI 1487823191 · on the registry since 2008 · sole proprietor

Practice

Address
2015 Broadway St
Pearland, TX 77581
Phone
(281) 485-6003
Organisation at this address
Lisa Richardson Dds Pc
Ellis Moon Orthodontics, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-02-27

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 Texas