Organization · Type 2 NPI
Spencer A. Ellis
General Practice Dentistry · Huntsville, TN
NPI number
1194900464
Active
Practice location
170 Scott High Dr
Huntsville, TN 37756-4152
Fax (423) 663-4439
Mailing address
PO Box 209
Huntsville, TN 37756-0209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DS7646 (TN) |
| Customized Equipment (DME) | 332BC3200X | None listed |
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.
Another provider at this address
Other general practice dentistry providers in Huntsville
About NPI 1194900464
Spencer A. Ellis's National Provider Identifier is 1194900464, issued on Jan 7, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Huntsville, TN. The record was last updated on Oct 2, 2023.