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Search › Texas › 122300000X

Thomas Ellisor, D.D.S

NPI 1649617838 · on the registry since 2013

Practice

Address
103 N Dixie Dr
Lake Jackson, TX 77566
Phone
(979) 297-6438
Organisation at this address
Cynthia Overholser Dds
Lake Jackson Family Dentistry Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-28

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