Robert H. Ellis in Columbia - Pediatric Dentistry

Robert H. Ellis - NPI 1023079654

Robert H. Ellis is a Pediatric Dentistry in Columbia, South Carolina. Robert H. Ellis practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Robert H. Ellis is 1023079654. The last update date is 2023-04-10.

Robert H. Ellis's current location address is 8905 Two Notch Rd, Columbia, South Carolina. You can contact this provider via phone number 8037889593 and fax number 8037883123. The mailing address for Robert H. Ellis is 8905 Two Notch Rd, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert H. Ellis
Address 8905 Two Notch Rd, Columbia, South Carolina
Phone Number 8037889593
Fax Number 8037883123
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1023079654
Provider Enumeration Date 2006-03-31
Last Updated Date 2023-04-10

Provider Mailing Address Detail

Address 8905 Two Notch Rd
City Columbia
State South Carolina (SC)
Post Code 292236367
Phone Number 8037889593
Fax Number 8037883123

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 3691
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZA9724 SC --
ZX3691 SC --

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FAQs about Robert H. Ellis

What is the Robert H. Ellis's 1023079654?

The Robert H. Ellis's NPI (National Provider Identifier) Number is 1023079654. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Robert H. Ellis is located?

The Robert H. Ellis is situated at the following address: 8905 Two Notch Rd, Columbia, SC, 292236367.

What is Robert H. Ellis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Robert H. Ellis is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date was the 1023079654 assigned to Robert H. Ellis?

The Robert H. Ellis was issued its 1023079654 on 2006-03-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Robert H. Ellis's information last updated?

The Robert H. Ellis's information was last updated on 2023-04-10.

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