Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL BARRY ELLIS, D.M.D.,P.A.
Active Sole ProprietorGeneral Dentistry · VICKSBURG, MS
Registration Details
- NPI Number
- 1619995743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (19.763171844107 yrs)
- Last Updated
- Jul 8, 2007
- License
-
204783 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1008 MISSION PARK DRVICKSBURG, MS, 391803735Browse MS providers · Browse ZIP 39180
- Phone
- 6016294100
- Fax
- 6016294101
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in VICKSBURG, MS
| Name | Credential | NPI |
|---|---|---|
| JIMMY F VESSELL | DDS | 1134180557 |
| MARTIN V CHANEY | D.M.D. | 1821150194 |
| DR. ROBERT A SADLER | DDS | 1366582413 |
| DR. LEMONT TERRANCE NORRIS | DDS | 1891812731 |
| DR. DONALD WILLIAM JACKSON | — | 1760500649 |
| DR. CHARLES BRENT THOMAS | DMD | 1649492695 |
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.