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Justin Kade Ellis
General Practice Dentistry in Brentwood, Tennessee
NPI 1356803712

Justin Kade Ellis is a General Practice Dentistry based in Brentwood, TN and is specialized in General Practice. Justin Kade Ellis practices in Brentwood, TN. The NPI Number for Justin Kade Ellis is 1356803712 and holds a License No. (Tennessee).

The current practice location address for Justin Kade Ellis is 343 Franklin Rd Ste 103, Brentwood, TN and can be reached out via phone at 615-343-1313.

Location: 343 Franklin Rd Ste 103, Brentwood, TN, 37027-5250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356803712
Provider Name
Justin Kade Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
343 Franklin Rd Ste 103, Brentwood, TN, 37027-5250
Phone Number
615-343-1313
Fax Number
Provider Enumeration Date
04/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
343 Franklin Rd Ste 103
City
Brentwood
State
Tennessee
Zip
37027
Phone Number
615-343-1313
Fax Number
person
Provider Business Mailing Address Details
Address
343 Franklin Rd Ste 103
City
Brentwood
State
Tennessee
Zip
37027
Phone Number
615-343-1313
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10989 (Tennessee)
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
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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