Randall William Ellis in Pueblo - General Practice
Randall William Ellis - NPI 1427026095
Randall William Ellis is a General Practice in Pueblo, Colorado. Randall William Ellis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall William Ellis is 1427026095. The last update date is 2012-06-01.
Randall William Ellis's current location address is 201 W 8th St, Pueblo, Colorado. You can contact this provider via phone number 7195624447 and fax number 7195831801. The mailing address for Randall William Ellis is 201 W 8th St, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall William Ellis |
|---|---|
| Address | 201 W 8th St, Pueblo, Colorado |
| Phone Number | 7195624447 |
| Fax Number | 7195831801 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1427026095 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2012-06-01 |
Provider Mailing Address Detail
| Address | 201 W 8th St |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810033038 |
| Phone Number | 7195624447 |
| Fax Number | 7195831801 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DEN-8475 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41506367 | NM | -- | |
| 200371660A | KS | -- | |
| 4880323 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randall William Ellis?
The Randall William Ellis has been issued the NPI (National Provider Identifier) 1427026095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Randall William Ellis is located?
The Randall William Ellis is situated at the following address: 201 W 8Th St, Pueblo, CO, 810033038.
What is the Randall William Ellis's specialty and taxonomy code?
The Randall William Ellis's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date was the 1427026095 assigned to Randall William Ellis?
The Randall William Ellis was issued its 1427026095 on 2006-03-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Randall William Ellis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randall William Ellis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-01.