Robert Stephen Ellis in Laurel - General Practice
Robert Stephen Ellis - NPI 1124274394
Robert Stephen Ellis is a General Practice in Laurel, Mississippi. Robert Stephen Ellis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Stephen Ellis is 1124274394. The last update date is 2008-08-07.
Robert Stephen Ellis's current location address is 1434 - Parker Drive, Laurel, Mississippi. You can contact this provider via phone number 6016493335 and fax number 6014266318. The mailing address for Robert Stephen Ellis is 1434 - Parker Drive, Laurel, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Stephen Ellis |
|---|---|
| Address | 1434 - Parker Drive, Laurel, Mississippi |
| Phone Number | 6016493335 |
| Fax Number | 6014266318 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124274394 |
|---|---|
| Provider Enumeration Date | 2008-08-07 |
| Last Updated Date | 2008-08-07 |
Provider Mailing Address Detail
| Address | 1434 - Parker Drive |
|---|---|
| City | Laurel |
| State | Mississippi (MS) |
| Post Code | 394401942 |
| Phone Number | 6016493335 |
| Fax Number | 6014266318 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1711-76 |
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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 identification code issued to Robert Stephen Ellis by the Centers for Medicare & Medicaid Services?
The Robert Stephen Ellis has been assigned the NPI (National Provider Identifier) 1124274394 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Robert Stephen Ellis's facilities are geographically located?
The facilities of Robert Stephen Ellis are physically situated at the following location: 1434 - Parker Drive, Laurel, MS, 394401942.
What is the area of specialization for Robert Stephen Ellis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert Stephen Ellis is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did Robert Stephen Ellis receive its 1124274394 assignment from the Centers for Medicare & Medicaid Services?
The Robert Stephen Ellis was assigned its 1124274394 on 2008-08-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Robert Stephen Ellis most recently updated or revised?
The information pertaining to Robert Stephen Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-07.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL