Individual provider · Type 1 NPI

Roger Terry Ellis, DDS

Oral and Maxillofacial Surgery (Dentist) · Clarksville, TN

NPI number 1396759189 Active

Practice location

1718 Memorial Dr
Clarksville, TN 37043-4542

Call (931) 552-4935 Map

Fax (931) 552-0959

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X4003 (TN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1396759189

Roger Terry Ellis, DDS's National Provider Identifier is 1396759189, issued on Jul 28, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Clarksville, TN. The record was last updated on Jul 8, 2007.