Randall A. Ellis in Texarkana - General Practice
Randall A. Ellis - NPI 1740328046
Randall A. Ellis is a General Practice in Texarkana, Arkansas. Randall A. Ellis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall A. Ellis is 1740328046. The last update date is 2007-07-08.
Randall A. Ellis's current location address is 312 Arkansas Blvd, Texarkana, Arkansas. You can contact this provider via phone number 8707721374 and fax number 8707746814. The mailing address for Randall A. Ellis is 312 Arkansas Blvd, Texarkana, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall A. Ellis |
|---|---|
| Address | 312 Arkansas Blvd, Texarkana, Arkansas |
| Phone Number | 8707721374 |
| Fax Number | 8707746814 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1740328046 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 312 Arkansas Blvd |
|---|---|
| City | Texarkana |
| State | Arkansas (AR) |
| Post Code | 718541905 |
| Phone Number | 8707721374 |
| Fax Number | 8707746814 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3050 |
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Definition: 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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What is the unique identifier code issued to Randall A. Ellis by the Centers for Medicare & Medicaid Services?
The Randall A. Ellis has been assigned the NPI (National Provider Identifier) 1740328046. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Randall A. Ellis is physically located?
The Randall A. Ellis is physically situated at the following address: 312 Arkansas Blvd, Texarkana, AR, 718541905.
What is Randall A. Ellis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall A. Ellis's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Randall A. Ellis receive its 1740328046 assignment?
The Randall A. Ellis was assigned its 1740328046 on 2007-02-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Randall A. Ellis most recently updated or revised?
The information pertaining to Randall A. Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.