Ellis Dental Care in Prairieville - General Practice
Ellis Dental Care - NPI 1710092937
Ellis Dental Care is a General Practice in Prairieville, Louisiana. Ellis Dental Care practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ellis Dental Care is 1710092937. The last update date is 2015-02-10.
Ellis Dental Care's current location address is 17583 Old Jefferson Hwy, Prairieville, Louisiana. You can contact this provider via phone number 2256732200 and fax number 2256732210. The mailing address for Ellis Dental Care is 17583 Old Jefferson Hwy, Prairieville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ellis Dental Care |
|---|---|
| Address | 17583 Old Jefferson Hwy, Prairieville, Louisiana |
| Phone Number | 2256732200 |
| Fax Number | 2256732210 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Ellis Michael David |
| Credentials | DDS |
| Telephone Number | 2256732200 |
NPI Number Detail
| NPI Number | 1710092937 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2015-02-10 |
Provider Mailing Address Detail
| Address | 17583 Old Jefferson Hwy |
|---|---|
| City | Prairieville |
| State | Louisiana (LA) |
| Post Code | 707693930 |
| Phone Number | 2256732200 |
| Fax Number | 2256732210 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5098 |
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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 10-digit identifier code assigned to Ellis Dental Care by the Centers for Medicare & Medicaid Services?
The Ellis Dental Care has been issued the NPI (National Provider Identifier) 1710092937 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Ellis Dental Care is physically located?
The Ellis Dental Care is situated at the following address: 17583 Old Jefferson Hwy, Prairieville, LA 707693930.
What is the Ellis Dental Care's area of specialization and corresponding taxonomy classification?
The Ellis Dental Care's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Ellis Dental Care receive the assignment of its 1710092937 from the Centers for Medicare & Medicaid Services?
The Ellis Dental Care was issued its 1710092937 by the Centers for Medicare & Medicaid Services on 2006-08-20.
When was the information pertaining to Ellis Dental Care most recently updated or revised?
The details related to Ellis Dental Care, including its address, specialty, and other relevant information, were last updated or revised on 2015-02-10.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC