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Dr. Sammy Dale Ellis, DMD
Oral and Maxillofacial Surgery (Dentist) in Snellville, Georgia
NPI 1639112345

Sammy Dale Ellis is a Oral and Maxillofacial Surgery (Dentist) based in Snellville, GA and is specialized in Oral and Maxillofacial Surgery. Sammy Dale Ellis practices in Snellville, GA and has the professional credentials of DMD. The NPI Number for Sammy Dale Ellis is 1639112345 and holds a License No. DN012320 (Georgia).

The current practice location address for Sammy Dale Ellis is 2221 Knollwood Drive, Snellville, GA and can be reached out via phone at 770-972-7911 and via fax at 770-978-3767.

Location: 2221 Knollwood Drive, Snellville, GA, 30078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639112345
Provider Name
Sammy Dale Ellis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2221 Knollwood Drive, Snellville, GA, 30078
Phone Number
770-972-7911
Fax Number
770-978-3767
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2221 Knollwood Drive
City
Snellville
State
Georgia
Zip
30078
Phone Number
770-972-7911
Fax Number
770-978-3767
person
Provider Business Mailing Address Details
Address
2221 Knollwood Drive
City
Snellville
State
Georgia
Zip
30078
Phone Number
770-972-7911
Fax Number
770-978-3767
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN012320 (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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