Spencer A. Ellis
Spencer A. Ellis is a General Practice Dentistry in Huntsville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.
- Licensed in
- TN
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
170 Scott High DrHuntsville, TN 37756-4152
Phone: (423) 663-4444
Fax: (423) 663-4439
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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 · Licence DS7646 (TN) |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X |
Record details
| NPI number | 1194900464 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Spencer Ellis — Owner · (423) 663-4444 |
| Other names | Ellis Family Dentistry |
| NPI enumerated | January 7, 2008 |
| Last updated in NPPES | October 2, 2023 |
| Certification date | October 2, 2023 |
| Mailing address | Po Box 209, Huntsville, TN 37756-0209 |
Other providers in Huntsville
-
Appalachian Life Quality Initistive
350 Court St, Huntsville, TN 37756 · (423) 663-8200