Individual provider · Type 1 NPI

Ellis Knox List, DDS

General Practice Dentistry · Durham, NC

NPI number 1114921764 Active

About NPI 1114921764

Ellis Knox List, DDS's National Provider Identifier is 1114921764, issued on Jun 10, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Durham, NC. The record was last updated on Jul 8, 2007.