Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES LEE ELLIS, DDS, MD
Active Sole ProprietorDR. CHARLES LEE ELLIS, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in GREEN BAY, Wisconsin. NPI 1013098698 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GREEN BAY, WI
Registration Details
- NPI Number
- 1013098698
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.779841584251 yrs)
- Last Updated
- Aug 20, 2025
- Licenses
-
8919 (NC)0401411258 (VA)019022235 (IL)0101058265 (VA)8919 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2353 S RIDGE ROADGREEN BAY, WI, 543045069Browse WI providers · Browse ZIP 54304
- Phone
- 9204990471
- Fax
- 9204998312
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Other Oral & Maxillofacial Surgery Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| WILLIAM J NELSON | DDS | 1578583654 |
| MICHAEL J SCHUH | DDS | 1760403570 |
| GREGORY W WELSH | DDS | 1124049820 |
| DR. MICHAEL M MISKELLA | D.D.S. | 1588688105 |
| DR. DAVID L LEMOINE | D.D.S. | 1447264502 |
| DR. VIJAY S PARMAR | D.D.S. | 1447274071 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.