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

TERRY RANDAL ELLIS, DMD

Active

TERRY RANDAL ELLIS, DMD is a Oral & Maxillofacial Surgery healthcare provider located in AUGUSTA, Georgia. NPI 1255307831 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · AUGUSTA, GA

Registration Details

NPI Number
1255307831
Provider Type
Individual
Gender
Male
NPI Issued
Feb 24, 2006 (20.432361319023 yrs)
Last Updated
Jul 8, 2007
Licenses
DN011393 (GA)
254190 (MS)

Practice Information

Address
1244 AUGUSTA WEST PARKWAY
AUGUSTA, GA, 30909
Browse GA providers · Browse ZIP 30909
Phone
7068557220
Fax
7068557260
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in AUGUSTA, GA

Name Credential NPI
DR. JOSEPH WILLIAM IVORY DDS 1184603136
DR. THOMAS PATRICK OSBORN DDS 1639121163
DR. SAMUEL CHRISTOPHER D'ARCO DDS 1790724763
DR. DAVID NEAL FAIRCLOTH DMD 1669404307
DR. RICHARD JAMES BAKEMAN DDS 1790717452
DR. BORIS J SIDOW DDS 1588674733
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.