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Renalla Kaye Ellis, DDS
General Practice Dentistry in Shawnee, Oklahoma
NPI 1548319130

Renalla Kaye Ellis is a General Practice Dentistry based in Shawnee, OK and is specialized in General Practice. Renalla Kaye Ellis practices in Shawnee, OK and has the professional credentials of DDS. The NPI Number for Renalla Kaye Ellis is 1548319130 and holds a License No. 5285 (Oklahoma).

The current practice location address for Renalla Kaye Ellis is 2510 E Independence St, Shawnee, OK and can be reached out via phone at 405-273-2002 and via fax at 405-273-0087.

Location: 2510 E Independence St, Shawnee, OK, 74804-1839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548319130
Provider Name
Renalla Kaye Ellis
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2510 E Independence St, Shawnee, OK, 74804-1839
Phone Number
405-273-2002
Fax Number
405-273-0087
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2510 E Independence St
City
Shawnee
State
Oklahoma
Zip
74804-1839
Phone Number
405-273-2002
Fax Number
405-273-0087
person
Provider Business Mailing Address Details
Address
2510 E Independence St
City
Shawnee
State
Oklahoma
Zip
74804-1839
Phone Number
405-273-2002
Fax Number
405-273-0087
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5285 (Oklahoma)
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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