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Dr. Ellis Knox List, DDS
General Practice Dentistry in Durham, North Carolina
NPI 1114921764

Ellis Knox List is a General Practice Dentistry based in Durham, NC and is specialized in General Practice. Ellis Knox List practices in Durham, NC and has the professional credentials of DDS. The NPI Number for Ellis Knox List is 1114921764 and holds a License No. 5687 (North Carolina).

The current practice location address for Ellis Knox List is 1014 Lamond Ave, Durham, NC and can be reached out via phone at 919-682-5327 and via fax at 919-688-4588.

Location: 1014 Lamond Ave, Durham, NC, 27701-2021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114921764
Provider Name
Ellis Knox List
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1014 Lamond Ave, Durham, NC, 27701-2021
Phone Number
919-682-5327
Fax Number
919-688-4588
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27028-1 01 NC BLUE CROSS/BLUE SHIELD #
institution
Provider Business Practice Location Address Details
Address
1014 Lamond Ave
City
Durham
State
North Carolina
Zip
27701-2021
Phone Number
919-682-5327
Fax Number
919-688-4588
person
Provider Business Mailing Address Details
Address
1014 Lamond Ave
City
Durham
State
North Carolina
Zip
27701-2021
Phone Number
919-682-5327
Fax Number
919-688-4588
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5687 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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