Individual provider · Type 1 NPI

Eda Ellis, DDS

General Practice Dentistry · New York, NY

NPI number 1396944526 Active

Practice location

30 Central Park S, Suite 7A
New York, NY 10019-1628

Call (212) 753-1119 Map

Fax (212) 753-1121

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X044489 (NY)

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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About NPI 1396944526

Eda Ellis, DDS's National Provider Identifier is 1396944526, issued on Jul 17, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New York, NY. The record was last updated on Jul 17, 2007.