Search › Tennessee › 122300000X
Justin Ellis, DDS
NPI 1588192868 · on the registry since 2017
Practice
- Address
- 215 Oak St
Livingston, TN 38570 - Phone
- (931) 823-5517
- Fax
- (931) 823-3852
- Organisation at this address
- Upper Cumberland Family Dentistry, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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 Tennessee