Gregory Sean Ellis in Fort Worth - General Practice
Gregory Sean Ellis - NPI 1821182106
Gregory Sean Ellis is a General Practice in Fort Worth, Texas. Gregory Sean Ellis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory Sean Ellis is 1821182106. The last update date is 2007-07-08.
Gregory Sean Ellis's current location address is 7621 Oakmont Blvd, Fort Worth, Texas. You can contact this provider via phone number 8173707776 and fax number 8173708860. The mailing address for Gregory Sean Ellis is 7621 Oakmont Blvd, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Sean Ellis |
|---|---|
| Address | 7621 Oakmont Blvd, Fort Worth, Texas |
| Phone Number | 8173707776 |
| Fax Number | 8173708860 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1821182106 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7621 Oakmont Blvd |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761324206 |
| Phone Number | 8173707776 |
| Fax Number | 8173708860 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 18765 |
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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 Gregory Sean Ellis's unique identification number?
The Gregory Sean Ellis has been assigned the NPI (National Provider Identifier) Number 1821182106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Gregory Sean Ellis?
The Gregory Sean Ellis is physically situated at 7621 Oakmont Blvd, in the city of Fort Worth, state of TX, with the postal code 761324206.
What is Gregory Sean Ellis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory Sean Ellis is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821182106 to Gregory Sean Ellis?
The Gregory Sean Ellis received its 1821182106 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information related to Gregory Sean Ellis most recently updated or refreshed?
The details pertaining to the Gregory Sean Ellis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.