| Ellis Dental Llc | |
|
10296 Big Bend Rd Suite 207 Saint Louis MO 63122-6498 | |
| (314) 965-1334 | |
| Not Available |
| Full Name | Ellis Dental Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10296 Big Bend Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Holly Christine Ellis (OWNER) |
| Authorized Official Contact | 3149651334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Dental Llc 10296 Big Bend Rd Suite 207 Saint Louis MO 63122-6498 Ph: (314) 965-1334 | Ellis Dental Llc 10296 Big Bend Rd Suite 207 Saint Louis MO 63122-6498 Ph: (314) 965-1334 |
| NPI Number | 1558895490 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Medicare PECOS PAC ID | 3274800438 |
|---|---|
| Medicare Enrollment ID | O20170519000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558895490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2006021179 (Missouri) | Primary |
Joseph And Nina Zeigler, D.m.d.s, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2821 N Ballas Rd, Suite 200, Saint Louis, MO 63131 Phone: 314-872-7590 | |
Jason L Allen Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5147 Daggett Ave, Saint Louis, MO 63110 Phone: 314-776-7800 | |
Deborah Long Coon Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Francis Pl, Ste 302, Saint Louis, MO 63105 Phone: 314-726-5553 Fax: 314-726-6663 | |
Missouri Dental Professionals, Richard Straus, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1544 Sierra Vista Plz, Saint Louis, MO 63138 Phone: 314-355-5700 | |
Garden Heights Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 S Big Bend Blvd, Saint Louis, MO 63117 Phone: 314-645-1225 | |
Carestl Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Pope Ave, Saint Louis, MO 63115 Phone: 314-385-3990 Fax: 314-389-2464 | |
Thomas Kennedy, Dds Of Missouri Ii, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9960 Kennerly Rd Ste B, Saint Louis, MO 63128 Phone: 314-849-2760 |