Individual provider · Type 1 NPI
Cherryl Sue Ellison, DDS
General Practice Dentistry · Seymour, IN
NPI number
1407414956
Active
Practice location
105 Community Dr Ste A
Seymour, IN 47274-1955
Mailing address
3312 E Roy Schmalz Ct
Bloomington, IN 47401-4445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 12013148A (IN) |
| General Practice Dentistry Primary | 1223G0001X | 104713 (CA) |
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 1407414956
Cherryl Sue Ellison, DDS's National Provider Identifier is 1407414956, issued on May 30, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Seymour, IN. The record was last updated on Jan 14, 2020.