Individual provider · Type 1 NPI

Randall William Ellis, DDS

General Practice Dentistry · Colorado Springs, CO

NPI number 1427026095 Active

Practice location

2859 E Fountain Blvd
Colorado Springs, CO 80910-2312

Call (719) 442-0071 Map

Fax (719) 473-5303

Mailing address

201 W 8th St, Suite 810
Pueblo, CO 81003-3038

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDEN-8475 (CO)
General Practice Dentistry 1223G0001XD4260 (ID)
General Practice Dentistry 1223G0001X4783 (OK)

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.

8 other providers at this address

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About NPI 1427026095

Randall William Ellis, DDS's National Provider Identifier is 1427026095, issued on Mar 9, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 1, 2012.