| Ellis Family Dentistry | |
|
3416 Woodlawn St Hopewell VA 23860-4738 | |
| (804) 458-6733 | |
| Not Available |
| Full Name | Ellis Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3416 Woodlawn St, Hopewell, Virginia |
| Authorized Official Name and Position | Julia C Ellis (OFFICE MANAGER) |
| Authorized Official Contact | 8044586733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Family Dentistry 3416 Woodlawn St Hopewell VA 23860-4738 Ph: (804) 458-6733 | Ellis Family Dentistry 3416 Woodlawn St Hopewell VA 23860-4738 Ph: (804) 458-6733 |
| NPI Number | 1841471737 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 11/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841471737 | NPI | - | NPPES |
| 9179650 | Medicaid | VA | |
| 9182633 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5245 (Virginia) | Primary |
| 261QD0000X | Clinic/center - Dental | 11395 (Virginia) | Secondary |
Ellis Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3416 Woodlawn St, Hopewell, VA 23860 Phone: 804-458-6733 | |
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Dr. Ellis & Associates, D.d.s., Of Hopewell, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3416 Woodlawn St, Hopewell, VA 23860 Phone: 804-458-6733 | |
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Hopewell Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N 4th Ave, Hopewell, VA 23860 Phone: 804-458-3004 Fax: 804-458-3056 |