Individual provider · Type 1 NPI

Randall A. Ellis, DDS

General Practice Dentistry · Texarkana, AR

NPI number 1740328046 Active

About NPI 1740328046

Randall A. Ellis, DDS's National Provider Identifier is 1740328046, issued on Feb 1, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Texarkana, AR. The record was last updated on Jul 8, 2007.