Christine Porter Ellis, DDS | |
5323 Harry Hines Blvd, Dallas, TX 75390-7201 | |
(214) 645-3999 | |
(214) 648-2918 |
Full Name | Christine Porter Ellis |
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Gender | Female |
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 5323 Harry Hines Blvd, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538124342 | NPI | - | NPPES |
164228201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 18307 (Texas) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Mailing Address | Practice Location Address |
---|---|
Christine Porter Ellis, DDS Po Box 845347, Dallas, TX 75284-5347 Ph: (214) 645-3999 | Christine Porter Ellis, DDS 5323 Harry Hines Blvd, Dallas, TX 75390-7201 Ph: (214) 645-3999 |
Dr. Aaron Kent Ip, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3010 Lyndon B Johnson Fwy, Ste 200, Dallas, TX 75234 Phone: 972-444-8888 Fax: 972-488-1899 | |
Dr. David M Alameel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3010 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75234 Phone: 972-444-8888 Fax: 972-243-6059 | |
Dr. James T Spillman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6316 Gaston Ave, Dallas, TX 75214 Phone: 214-823-5253 | |
Nicole L Benson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8620 Skillman St, Dallas, TX 75243 Phone: 214-341-0900 Fax: 214-580-5202 | |
Dr. Brent Steven Desutter, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 718 N Buckner Blvd Ste 110, Dallas, TX 75218 Phone: 214-295-8440 | |
Courtney Cunningham Ellis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1777 N Record St Apt 2402, Dallas, TX 75202 Phone: 806-570-0488 | |
Dr. Tae Eun You, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 S Buckner Blvd, Ste 223, Dallas, TX 75217 Phone: 214-391-6868 |