Organization · Type 2 NPI
Jerry R Ellis DDS PC
Customized Equipment (DME) · Midlothian, TX
NPI number
1982304267
Active
Practice location
404 W Main St
Midlothian, TX 76065-2946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1982304267
Jerry R Ellis DDS PC's National Provider Identifier is 1982304267, issued on Mar 6, 2023. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Midlothian, TX. The record was last updated on Apr 20, 2023.