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Dr. Robert E Ellis, DDS
Oral and Maxillofacial Surgery (Dentist) in Lawrenceville, Georgia
NPI 1053320028

Robert E Ellis is a Oral and Maxillofacial Surgery (Dentist) based in Lawrenceville, GA and is specialized in Oral and Maxillofacial Surgery. Robert E Ellis practices in Lawrenceville, GA and has the professional credentials of DDS. The NPI Number for Robert E Ellis is 1053320028 and holds a License No. DN009242 (Georgia).

The current practice location address for Robert E Ellis is 745 Old Norcross Rd, Lawrenceville, GA and can be reached out via phone at 770-962-9515 and via fax at 770-962-2722.

Location: 745 Old Norcross Rd, Lawrenceville, GA, 30045-4317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053320028
Provider Name
Robert E Ellis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
745 Old Norcross Rd, Lawrenceville, GA, 30045-4317
Phone Number
770-962-9515
Fax Number
770-962-2722
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
745 Old Norcross Rd
City
Lawrenceville
State
Georgia
Zip
30045-4317
Phone Number
770-962-9515
Fax Number
770-962-2722
person
Provider Business Mailing Address Details
Address
745 Old Norcross Rd
City
Lawrenceville
State
Georgia
Zip
30045-4317
Phone Number
770-962-9515
Fax Number
770-962-2722
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN009242 (Georgia)
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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