| James D. Ellis Dds Llc | |
|
12100 W Center Rd Ste 521 Omaha NE 68144-3969 | |
| (402) 333-3343 | |
| (402) 333-3344 |
| Full Name | James D. Ellis Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12100 W Center Rd, Omaha, Nebraska |
| Authorized Official Name and Position | James D. Ellis (OWNER/MANAGER) |
| Authorized Official Contact | 4023333343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James D. Ellis Dds Llc 12100 W Center Rd Ste 521 Omaha NE 68144-3969 Ph: (402) 333-3343 | James D. Ellis Dds Llc 12100 W Center Rd Ste 521 Omaha NE 68144-3969 Ph: (402) 333-3343 |
| NPI Number | 1477947976 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 03/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477947976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6920 (Nebraska) | Primary |
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