Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellis Dental LLC

Organization Dental Clinic/Center · NPI 1558895490

Ellis Dental LLC is a Dental Clinic/Center in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10296 Big Bend Rd Ste 207
Saint Louis, MO 63122-6498
Phone: (314) 965-1334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 2006021179 (MO)

Record details

NPI number1558895490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Ellis — Owner · (314) 965-1334
NPI enumeratedApril 18, 2017
Last updated in NPPESApril 18, 2017
Mailing address10296 Big Bend Rd, Suite 207, Saint Louis, MO 63122-6498

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