Robert H. Ellis in Columbia - Pediatric Dentistry

Robert H. Ellis - NPI 1487615001

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 1487615001. The last update date is 2014-09-11.

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 Y
Credentials DDS

NPI Number Detail

NPI Number 1487615001
Provider Enumeration Date 2006-03-31
Last Updated Date 2014-09-11

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 1266
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
Z12665 SC --
ZA9724 SC --

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FAQs about Robert H. Ellis

What is the Robert H. Ellis's unique identification number?

The Robert H. Ellis has been assigned the NPI (National Provider Identifier) Number 1487615001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Robert H. Ellis is geographically located?

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

What is the area of specialization for Robert H. Ellis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert H. Ellis is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.

When did the Robert H. Ellis receive its 1487615001?

The Robert H. Ellis was issued its 1487615001 on 2006-03-31, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Robert H. Ellis most recently updated or revised?

The information pertaining to Robert H. Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-11.

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