Sammy Dale Ellis in Snellville - Oral And Maxillofacial Surgery
Sammy Dale Ellis - NPI 1639112345
Sammy Dale Ellis is a Oral And Maxillofacial Surgery in Snellville, Georgia. Sammy Dale Ellis practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Sammy Dale Ellis is 1639112345. The last update date is 2012-12-11.
Sammy Dale Ellis's current location address is 2221 Knollwood Drive, Snellville, Georgia. You can contact this provider via phone number 7709727911 and fax number 7709783767. The mailing address for Sammy Dale Ellis is 2221 Knollwood Drive, Snellville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sammy Dale Ellis |
|---|---|
| Address | 2221 Knollwood Drive, Snellville, Georgia |
| Phone Number | 7709727911 |
| Fax Number | 7709783767 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1639112345 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2012-12-11 |
Provider Mailing Address Detail
| Address | 2221 Knollwood Drive |
|---|---|
| City | Snellville |
| State | Georgia (GA) |
| Post Code | 30078 |
| Phone Number | 7709727911 |
| Fax Number | 7709783767 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DN012320 |
|
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sammy Dale Ellis by the Centers for Medicare & Medicaid Services?
The Sammy Dale Ellis has been assigned the NPI (National Provider Identifier) 1639112345 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Sammy Dale Ellis?
The Sammy Dale Ellis is physically situated at 2221 Knollwood Drive, in the city of Snellville, state of GA, with the postal code 30078.
What is the area of specialization for Sammy Dale Ellis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sammy Dale Ellis is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639112345 to Sammy Dale Ellis?
The Centers for Medicare & Medicaid Services assigned the 1639112345 to Sammy Dale Ellis on 2006-06-13.
When was the Sammy Dale Ellis's information last updated?
The Sammy Dale Ellis's information was last updated on 2012-12-11.