Terry Randal Ellis in Augusta - Oral And Maxillofacial Surgery
Terry Randal Ellis - NPI 1255307831
Terry Randal Ellis is a Oral And Maxillofacial Surgery in Augusta, Georgia. Terry Randal Ellis practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Terry Randal Ellis is 1255307831. The last update date is 2007-07-08.
Terry Randal Ellis's current location address is 1244 Augusta West Parkway, Augusta, Georgia. You can contact this provider via phone number 7068557220 and fax number 7068557260. The mailing address for Terry Randal Ellis is 1244 Augusta West Parkway, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Randal Ellis |
|---|---|
| Address | 1244 Augusta West Parkway, Augusta, Georgia |
| Phone Number | 7068557220 |
| Fax Number | 7068557260 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1255307831 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1244 Augusta West Parkway |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 30909 |
| Phone Number | 7068557220 |
| Fax Number | 7068557260 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DN011393 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique identifier code issued to Terry Randal Ellis by the Centers for Medicare & Medicaid Services (CMS)?
The Terry Randal Ellis has been assigned the NPI (National Provider Identifier) 1255307831. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Terry Randal Ellis?
The Terry Randal Ellis is physically situated at 1244 Augusta West Parkway, in the city of Augusta, state of GA, with the postal code 30909.
What is the area of specialization for Terry Randal Ellis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Terry Randal Ellis is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date was the 1255307831 assigned to Terry Randal Ellis?
The Terry Randal Ellis was issued its 1255307831 on 2006-02-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Terry Randal Ellis most recently updated?
The details pertaining to the Terry Randal Ellis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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