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Dr. Michael Barry Ellis, DMD,PA
General Practice Dentistry in Vicksburg, Mississippi
NPI 1619995743

Michael Barry Ellis is a General Practice Dentistry based in Vicksburg, MS and is specialized in General Practice. Michael Barry Ellis practices in Vicksburg, MS and has the professional credentials of DMD,PA. The NPI Number for Michael Barry Ellis is 1619995743 and holds a License No. 204783 (Mississippi).

The current practice location address for Michael Barry Ellis is 1008 Mission Park Dr, Vicksburg, MS and can be reached out via phone at 601-629-4100 and via fax at 601-629-4101.

Location: 1008 Mission Park Dr, Vicksburg, MS, 39180-3735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619995743
Provider Name
Michael Barry Ellis
Credential
DMD,PA
Provider Entity Type
Individual
Gender
Male
Address
1008 Mission Park Dr, Vicksburg, MS, 39180-3735
Phone Number
601-629-4100
Fax Number
601-629-4101
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1008 Mission Park Dr
City
Vicksburg
State
Mississippi
Zip
39180-3735
Phone Number
601-629-4100
Fax Number
601-629-4101
person
Provider Business Mailing Address Details
Address
1008 Mission Park Dr
City
Vicksburg
State
Mississippi
Zip
39180-3735
Phone Number
601-629-4100
Fax Number
601-629-4101
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
204783 (Mississippi)
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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