SearchIndiana1223G0001X

John Ellison, D.D.S

NPI 1609128065 · on the registry since 2012 · sole proprietor

Practice

Address
1658 Washington Ave
Vincennes, IN 47591
Phone
(812) 882-6098

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-10

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