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Larisa Ellis, DDS
General Practice Dentistry in Old Saybrook, Connecticut
NPI 1881664514

Larisa Ellis is a General Practice Dentistry based in Middletown, CT and is specialized in General Practice. Larisa Ellis practices in Old Saybrook, CT and has the professional credentials of DDS. The NPI Number for Larisa Ellis is 1881664514 and holds a License No. 009502 (Connecticut).

The current practice location address for Larisa Ellis is 263 Main St, Old Saybrook, CT and can be reached out via phone at 860-388-4433 and via fax at 860-388-4434.

Location: 263 Main St, Old Saybrook, CT, 06457-2718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881664514
Provider Name
Larisa Ellis
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
263 Main St, Old Saybrook, CT, 06457-2718
Phone Number
860-388-4433
Fax Number
860-388-4434
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
263 Main St
City
Old Saybrook
State
Connecticut
Zip
06475-2326
Phone Number
860-388-4433
Fax Number
860-388-4434
person
Provider Business Mailing Address Details
Address
263 Main St
City
Old Saybrook
State
Connecticut
Zip
06475-2326
Phone Number
860-388-4433
Fax Number
860-388-4434
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
009502 (Connecticut)
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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