Ellis, Amanda
Ellis, Amanda is an individual health care provider with primary practice located at 6715 Tippecanoe Rd Ste E102 , Canfield OH 44406-9183. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ellis, Amanda can be contacted via phone (330) 702-9000.Contact Information
Primary practice address
6715 Tippecanoe Rd Ste E102
Canfield OH 44406-9183
Phone: (330) 702-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30.025732 | Ohio |
Profile Details
| NPI number | 1649836024 |
|---|---|
| LBN Legal business name | Ellis, Amanda |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2019 |
| Last updated | Aug 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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