| Ellis Endodontics, Pa | |
|
303 Longmire Rd Unit 901 Conroe TX 77304-2101 | |
| (936) 760-2222 | |
| (936) 760-2233 |
| Full Name | Ellis Endodontics, Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 303 Longmire Rd Unit 901, Conroe, Texas |
| Authorized Official Name and Position | Gregory Brant Ellis (DOCTOR-OWNER) |
| Authorized Official Contact | 8324523169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Endodontics, Pa 303 Longmire Rd Unit 901 Conroe TX 77304-2101 Ph: (936) 760-2222 | Ellis Endodontics, Pa 303 Longmire Rd Unit 901 Conroe TX 77304-2101 Ph: (936) 760-2222 |
| NPI Number | 1285108563 |
|---|---|
| Provider Enumeration Date | 01/19/2019 |
| Last Update Date | 01/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285108563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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