Individual provider · Type 1 NPI

Robert H. Ellis Iii, DMD

Pediatric Dentistry · Columbia, SC

NPI number 1023079654 Active

Practice location

8905 Two Notch Rd
Columbia, SC 29223-6367

Call (803) 788-9593 Map

Fax (803) 788-3123

Other practice locations

  • 9704 Two Notch Rd, Columbia, SC 29223-4379 · (803) 402-3838

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X10406 (SC)
Pediatric Dentistry Primary 1223P0221X3691 (SC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6 other providers at this address

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About NPI 1023079654

Robert H. Ellis Iii, DMD's National Provider Identifier is 1023079654, issued on Mar 31, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Columbia, SC. The record was last updated on Apr 10, 2023.