Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL V ELLIS, DDS
ActiveMR. MICHAEL V ELLIS, DDS is a Dentist healthcare provider located in HOLLAND, Indiana. NPI 1386742526 is currently active in the NPPES registry. Verify at CMS.
Dentist · HOLLAND, IN
Registration Details
- NPI Number
- 1386742526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.882814973643 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12006819 (IN)
Practice Information
- Address
-
305 N MERIDIAN STREETHOLLAND, IN, 47541Browse IN providers · Browse ZIP 47541
- Phone
- 8125363011
- Fax
- 8125363000
- Primary Specialty
-
Dentist
122300000X
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.