ROGER ELLIS, D.D.S.

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1396759189

Practice Address

1718 MEMORIAL DR
Clarksville, TN 37043

Phone: (931) 552-4935

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes 4003 (TN)

Frequently Asked Questions

NPI 1396759189 is the National Provider Identifier for ROGER ELLIS, D.D.S., a Dentist - Oral and Maxillofacial Surgery provider located in Clarksville, TN. This NPI was enumerated on July 28, 2006.
ROGER ELLIS, D.D.S. practices at 1718 MEMORIAL DR, Clarksville, TN 37043.

Quick Facts

NPI
1396759189
Type
Individual
Enumerated
Jul 28, 2006
Last Updated
Jul 8, 2007

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