Individual provider · Type 1 NPI

Michael Roy Ellis, DMD

General Practice Dentistry · Bristol, CT

NPI number 1003968983 Active

Practice location

789 Farmington Ave
Bristol, CT 06010-3919

Call (860) 583-6056 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X007856 (CT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1003968983

Michael Roy Ellis, DMD's National Provider Identifier is 1003968983, issued on Jan 18, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bristol, CT. The record was last updated on Jul 8, 2007.