Donald Michael Ellis in Annandale - Orthodontics And Dentofacial Orthopedics

Donald Michael Ellis - NPI 1306911581

Donald Michael Ellis is a Orthodontics And Dentofacial Orthopedics in Annandale, Virginia. Donald Michael Ellis practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Donald Michael Ellis is 1306911581. The last update date is 2007-07-08.

Donald Michael Ellis's current location address is 4600 John Marr Dr Ste 401, Annandale, Virginia. You can contact this provider via phone number 7037509393 and fax number 7037505420. The mailing address for Donald Michael Ellis is 4600 John Marr Dr Ste 401, Annandale, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Michael Ellis
Address 4600 John Marr Dr Ste 401, Annandale, Virginia
Phone Number 7037509393
Fax Number 7037505420
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1306911581
Provider Enumeration Date 2006-11-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4600 John Marr Dr Ste 401
City Annandale
State Virginia (VA)
Post Code 220033310
Phone Number 7037509393
Fax Number 7037505420

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 401411131
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Donald Michael Ellis

What is the unique 10-digit identifier code issued to Donald Michael Ellis by the Centers for Medicare & Medicaid Services?

The Donald Michael Ellis has been assigned the NPI (National Provider Identifier) 1306911581 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Donald Michael Ellis's facilities are situated?

The facilities of Donald Michael Ellis are physically located at the following address: 4600 John Marr Dr Ste 401, Annandale, VA, 220033310.

What is Donald Michael 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 Donald Michael Ellis is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.

On what date did the Donald Michael Ellis receive the assignment of its 1306911581 from the Centers for Medicare & Medicaid Services?

The Donald Michael Ellis was issued its 1306911581 by the Centers for Medicare & Medicaid Services on 2006-11-22.

When was the information pertaining to Donald Michael Ellis most recently updated or revised?

The details related to Donald Michael Ellis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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