Individual provider · Type 1 NPI

Randy Kyle Ellis

Orthodontics and Dentofacial Orthopedics Dentistry · Pearland, TX

NPI number 1487823191 Active

Practice location

2015 Broadway St
Pearland, TX 77581-5698

Call (281) 485-6003 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X15404 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1487823191

Randy Kyle Ellis's National Provider Identifier is 1487823191, issued on Feb 27, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pearland, TX. The record was last updated on Feb 27, 2008.