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

DR. SAMMY DALE ELLIS, DMD

Active Sole Proprietor

DR. SAMMY DALE ELLIS, DMD is a Oral & Maxillofacial Surgery healthcare provider located in SNELLVILLE, Georgia. NPI 1639112345 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · SNELLVILLE, GA

Registration Details

NPI Number
1639112345
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2006 (20.2064902903 yrs)
Last Updated
Dec 11, 2012
License
DN012320 (GA)
Sole Proprietor
Yes

Practice Information

Address
2221 KNOLLWOOD DRIVE
SNELLVILLE, GA, 30078
Browse GA providers · Browse ZIP 30078
Phone
7709727911
Fax
7709783767
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in SNELLVILLE, GA

Name Credential NPI
DR. JAMES EUGENE HADDAD JR. DMD 1720021439
DR. DAMION ROCKWELL D.M.D. 1225384365
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.