| Jerry R Ellis Dds Pc | |
|
404 W Main St Midlothian TX 76065-2946 | |
| (972) 775-2345 | |
| Not Available |
| Full Name | Jerry R Ellis Dds Pc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 404 W Main St, Midlothian, Texas |
| Authorized Official Name and Position | Jerry R Ellis (OWNER/DENTIST) |
| Authorized Official Contact | 9727752345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry R Ellis Dds Pc 404 W Main St Midlothian TX 76065-2946 Ph: (972) 775-2345 | Jerry R Ellis Dds Pc 404 W Main St Midlothian TX 76065-2946 Ph: (972) 775-2345 |
| NPI Number | 1982304267 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 8325410517 |
|---|---|
| Medicare Enrollment ID | O20230216001899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982304267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
Aesthetic & Implant Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 S 7th St, Midlothian, TX 76065 Phone: 972-723-5544 | |
Dental Health Associates Of Tx, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2271 Fm 663, Midlothian, TX 76065 Phone: 469-672-3143 | |
Dentists Of Midlothian And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 Fm 663 Ste 420, Midlothian, TX 76065 Phone: 972-528-4802 Fax: 972-528-4802 | |
A.l.c Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 S 7th St, Midlothian, TX 76065 Phone: 972-723-5544 | |
David Rivers Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 George Hopper Rd Ste 100, Midlothian, TX 76065 Phone: 469-336-5015 | |
Legacy Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Walton Way, Suite 102, Midlothian, TX 76065 Phone: 972-723-1148 Fax: 972-723-1035 | |
Marvel Dental And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 E Main St Ste 800, Midlothian, TX 76065 Phone: 817-933-3883 |