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Roger Terry Ellis, DDS
Oral and Maxillofacial Surgery (Dentist) in Clarksville, Tennessee
NPI 1396759189

Roger Terry Ellis is a Oral and Maxillofacial Surgery (Dentist) based in Clarksville, TN and is specialized in Oral and Maxillofacial Surgery. Roger Terry Ellis practices in Clarksville, TN and has the professional credentials of DDS. The NPI Number for Roger Terry Ellis is 1396759189 and holds a License No. 4003 (Tennessee).

The current practice location address for Roger Terry Ellis is 1718 Memorial Dr, Clarksville, TN and can be reached out via phone at 931-552-4935 and via fax at 931-552-0959. You can also correspond with Roger Terry Ellis through the mailing address at 1718 MEMORIAL DR, CLARKSVILLE, TN - 37043-4542 (mailing address contact number: 931-552-4935).

Location: 1718 Memorial Dr, Clarksville, TN, 37043-4542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396759189
Provider Name
Roger Terry Ellis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1718 Memorial Dr, Clarksville, TN, 37043-4542
Phone Number
931-552-4935
Fax Number
931-552-0959
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1718 Memorial Dr
City
Clarksville
State
Tennessee
Zip
37043-4542
Phone Number
931-552-4935
Fax Number
931-552-0959
person
Provider Business Mailing Address Details
Address
1718 Memorial Dr
City
Clarksville
State
Tennessee
Zip
37043-4542
Phone Number
931-552-4935
Fax Number
931-552-0959
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4003 (Tennessee)
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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