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

Justin Kade Ellis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356803712

Justin Kade Ellis is a Student in an Organized Health Care Education/Training Program in Brentwood, Tennessee. Works from 3 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

343 Franklin Rd Ste 103
Brentwood, TN 37027
Phone: (615) 343-1313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1100 Florida Ave, New Orleans, LA 70119-2715 — (504) 619-8700
  • 343 Franklin Rd Ste 103, Brentwood, TN 37027 — (615) 343-1313

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10989 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356803712
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESJune 28, 2019

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