Individual provider · Type 1 NPI
Ellie Severance, DDS
General Practice Dentistry · Odessa, MO
NPI number
1063254381
Active
Practice location
404 N 4th St
Odessa, MO 64076-1152
Mailing address
728 Hobbs Rd
Jefferson City, MO 65109-6817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2024019283 (MO) |
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.
3 other providers at this address
About NPI 1063254381
Ellie Severance, DDS's National Provider Identifier is 1063254381, issued on Jun 7, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Odessa, MO. The record was last updated on Jun 7, 2024.