Dr Eli George Ellis Jr, DDS | |
911 Market St, Port Gibson, MS 39150 | |
(601) 437-5221 | |
Not Available |
Full Name | Dr Eli George Ellis Jr |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 911 Market St, Port Gibson, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326113135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1099-63 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Eli George Ellis Jr, DDS Po Box 237, Port Gibson, MS 39150-0237 Ph: (601) 437-5670 | Dr Eli George Ellis Jr, DDS 911 Market St, Port Gibson, MS 39150 Ph: (601) 437-5221 |
Dr. Latoya Denise Colenberg Eakins, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2045 Highway 61 N, Port Gibson, MS 39150 Phone: 601-437-3050 Fax: 601-437-3057 | |
Keith D Bishop, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2045 Highway 61 North, Port Gibson, MS 39150 Phone: 601-437-3050 Fax: 601-437-3051 |