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

DENTAL GROUP OF ELLISVILLE, PLLC

Active Organization

DENTAL GROUP OF ELLISVILLE, PLLC is a General Dentistry organization located in ELLISVILLE, Mississippi. NPI 1972851814 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ELLISVILLE, MS

Registration Details

NPI Number
1972851814
Provider Type
Organization
NPI Issued
Aug 27, 2012 (13.977957542791 yrs)
Last Updated
Mar 18, 2019
License
2940-96 (MS)

Practice Information

Address
97 HAL CROCKER ROAD
ELLISVILLE, MS, 39437
Browse MS providers · Browse ZIP 39437
Phone
6014773779
Fax
6014773770
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in ELLISVILLE, MS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.