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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES LEE ELLIS, DDS, MD

Active Sole Proprietor

DR. 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 ROAD
GREEN BAY, WI, 543045069
Browse 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

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.