Jerry R Ellis DDS PC
Jerry R Ellis DDS PC is a General Practice Dentistry in Midlothian, Texas. Licensed in Texas. Registered with an NPI since 2005.
- Licensed in
- TX
- In the registry since
- 2005
Practice location Address checks out
404 W Main StMidlothian, TX 76065-2946
Phone: (972) 775-2345
Fax: (972) 775-4729
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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 13742 (TX) |
|---|
Record details
| NPI number | 1073516365 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 31, 2005 |
| Last updated in NPPES | March 9, 2023 |
| Certification date | March 9, 2023 |
| Mailing address | 404 W Main St, Midlothian, TX 76065-2946 |
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