Individual provider · Type 1 NPI

Donald Michael Ellis, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Annandale, VA

NPI number 1306911581 Active

Practice location

4600 John Marr Dr Ste 401
Annandale, VA 22003-3310

Fax (703) 750-5420

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	0401411131 (VA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1306911581

Donald Michael Ellis, DDS's National Provider Identifier is 1306911581, issued on Nov 22, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Annandale, VA. The record was last updated on Jul 8, 2007.