institution
Spencer A. Ellis
Customized Equipment (DME) in Huntsville, Tennessee
NPI 1194900464

Spencer A. Ellis is a Customized Equipment (DME) based in Huntsville, TN and is specialized in Customized Equipment. Spencer A. Ellis practices in Huntsville, TN. The NPI Number for Spencer A. Ellis is 1194900464 and holds a License No. DS7646 (Tennessee).

The current practice location address for Spencer A. Ellis is 170 Scott High Dr, Huntsville, TN and can be reached out via phone at 423-663-4444 and via fax at 423-663-4439. You can also correspond with Spencer A. Ellis through the mailing address at PO BOX 209, HUNTSVILLE, TN - 37756-0209 (mailing address contact number: 423-663-4444).

Location: 170 Scott High Dr, Huntsville, TN, 37756-0209
institution
Provider Profile Details
NPI Number
1194900464
Provider Name
Spencer A. Ellis
Credential
Provider Entity Type
Organization
Address
170 Scott High Dr, Huntsville, TN, 37756-0209
Phone Number
423-663-4444
Fax Number
423-663-4439
Provider Enumeration Date
01/07/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3139906 01 TN BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
170 Scott High Dr
City
State
Zip
37756-4152
Phone Number
423-663-4444
Fax Number
423-663-4439
person
Provider Business Mailing Address Details
Address
170 Scott High Dr
City
State
Zip
37756-4152
Phone Number
423-663-4444
Fax Number
423-663-4439
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
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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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
DS7646 (Tennessee)
Definition
Definition to come...
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