DR. TEDDY ELLIS, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1295728756
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 06010 (IA) |
Frequently Asked Questions
NPI 1295728756 is the National Provider Identifier for DR. TEDDY ELLIS, D.D.S., a Dentist - General Practice provider located in Ft Warren Afb, WY. This NPI was enumerated on August 30, 2005.
DR. TEDDY ELLIS, D.D.S. practices at 6900 ALDEN DR, Ft Warren Afb, WY 82005.
Quick Facts
- NPI
- 1295728756
- Type
- Individual
- Enumerated
- Aug 30, 2005
- Last Updated
- Jul 8, 2007
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