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

Dr. Ellis Basil Memos, DDS

Individual provider General Practice Dentistry · NPI 1245340025

Dr. Ellis Basil Memos, DDS is a General Practice Dentistry in St. Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5108 Hampton Ave
St. Louis, MO 63109-3113
Phone: (314) 832-4816
Fax: (314) 832-4811
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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 9757 (MO)

Record details

NPI number1245340025
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5108 Hampton Ave, St Louis, MO 63109-3113

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