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

Randall A. Ellis, DDS, PLLC

Organization General Practice Dentistry · NPI 1114619657

Randall A. Ellis, DDS, PLLC is a General Practice Dentistry in Texarkana, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4617 Summerhill Rd Ste 3
Texarkana, TX 75503-2783
Phone: (903) 838-5506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1114619657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Ellis — Owner/Dentist · (903) 838-5506
NPI enumeratedMay 23, 2023
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023
Mailing address4617 Summerhill Rd Ste 3, Texarkana, TX 75503-2783

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