Dr Spencer Allan Ellis, DDS is a
Dentist based in Huntsville, Tennessee. Dr Spencer Allan Ellis is licensed to practice in Tennessee (license number DS0000007646) and his current practice location is
170 Scott High Dr, Huntsville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 663-4444.
NPI number for Dr Spencer Allan Ellis is 1992821763 and his current mailing address is Po Box 209, Huntsville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992821763.
Healthcare Provider's Profile
| Full Name | Dr Spencer Allan Ellis |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 170 Scott High Dr, Huntsville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992821763
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 10/02/2023
Medical Identifiers
Medical identifiers for Dr Spencer Allan Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992821763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DS0000007646 (Tennessee) | Primary |
| 1223G0001X | Dentist - General Practice | DS7646 (Tennessee) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Spencer Allan Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Spencer Allan Ellis, DDS
Po Box 209,
Huntsville, TN 37756-0209
Ph: (423) 663-4444 | Dr Spencer Allan Ellis, DDS
170 Scott High Dr,
Huntsville, TN 37756-4152
Ph: (423) 663-4444 |
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