Individual provider · Type 1 NPI
Robert Stephen Ellis, DDS
General Practice Dentistry · Laurel, MS
NPI number
1124274394
Active
Practice location
1434 - Parker Drive
Laurel, MS 39440-1942
Fax (601) 426-6318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 1711-76 (MS) |
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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- Kent B. Leggett, DMDGeneral Practice Dentistry Laurel, MS NPI 1457465924
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About NPI 1124274394
Robert Stephen Ellis, DDS's National Provider Identifier is 1124274394, issued on Aug 7, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Laurel, MS. The record was last updated on Aug 7, 2008.