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Terry Randal Ellis, DMD
Oral and Maxillofacial Surgery (Dentist) in Augusta, Georgia
NPI 1255307831

Terry Randal Ellis is a Oral and Maxillofacial Surgery (Dentist) based in Augusta, GA and is specialized in Oral and Maxillofacial Surgery. Terry Randal Ellis practices in Augusta, GA and has the professional credentials of DMD. The NPI Number for Terry Randal Ellis is 1255307831 and holds a License No. DN011393 (Georgia).

The current practice location address for Terry Randal Ellis is 1244 Augusta West Parkway, Augusta, GA and can be reached out via phone at 706-855-7220 and via fax at 706-855-7260.

Location: 1244 Augusta West Parkway, Augusta, GA, 30909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255307831
Provider Name
Terry Randal Ellis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1244 Augusta West Parkway, Augusta, GA, 30909
Phone Number
706-855-7220
Fax Number
706-855-7260
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1244 Augusta West Parkway
City
Augusta
State
Georgia
Zip
30909
Phone Number
706-855-7220
Fax Number
706-855-7260
person
Provider Business Mailing Address Details
Address
1244 Augusta West Parkway
City
Augusta
State
Georgia
Zip
30909
Phone Number
706-855-7220
Fax Number
706-855-7260
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN011393 (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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