DR. ELLIS LIST, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1114921764
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 30-01-8657 (OH) |
Frequently Asked Questions
NPI 1114921764 is the National Provider Identifier for DR. ELLIS LIST, D.D.S., a Dentist - General Practice provider located in Durham, NC. This NPI was enumerated on June 10, 2005.
DR. ELLIS LIST, D.D.S. practices at 1014 LAMOND AVE, Durham, NC 27701.
Quick Facts
- NPI
- 1114921764
- Type
- Individual
- Enumerated
- Jun 10, 2005
- Last Updated
- Jul 8, 2007
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