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Jerry R Ellis Dds Pc
Customized Equipment (DME) in Midlothian, Texas
NPI 1982304267

Jerry R Ellis Dds Pc is a Customized Equipment (DME) based in Midlothian, TX and is specialized in Customized Equipment. Jerry R Ellis Dds Pc practices in Midlothian, TX. The NPI Number for Jerry R Ellis Dds Pc is 1982304267 and holds a License No. (Texas).

The current practice location address for Jerry R Ellis Dds Pc is 404 W Main St, Midlothian, TX and can be reached out via phone at 972-775-2345.

Location: 404 W Main St, Midlothian, TX, 76065-2946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982304267
Provider Name
Jerry R Ellis Dds Pc
Credential
Provider Entity Type
Organization
Address
404 W Main St, Midlothian, TX, 76065-2946
Phone Number
972-775-2345
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
404 W Main St
City
Midlothian
State
Texas
Zip
76065-2946
Phone Number
972-775-2345
Fax Number
person
Provider Business Mailing Address Details
Address
404 W Main St
City
Midlothian
State
Texas
Zip
76065-2946
Phone Number
972-775-2345
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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