Individual provider · Type 1 NPI
Kevin John Ellis, DMD
General Practice Dentistry · Virginia Beach, VA
NPI number
1477526069
Active
Practice location
205 34th St, Suite 112
Virginia Beach, VA 23451-2836
Fax (757) 428-7663
Mailing address
1360 Little Neck Rd
Virginia Beach, VA 23452-4740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 7176 (VA) |
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 1477526069
Kevin John Ellis, DMD's National Provider Identifier is 1477526069, issued on Feb 13, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 8, 2007.