Ellis, Andre

Ellis, Andre is an individual health care provider with primary practice located at 4013 Gateway Dr , Colleyville TX 76034-5917. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ellis, Andre can be contacted via phone (817) 858-6333.

Contact Information

Primary practice address
4013 Gateway Dr Colleyville TX 76034-5917
Phone: (817) 858-6333
Fax: (817) 868-0068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16340 Texas

Profile Details

NPI number 1245292721
LBN Legal business name Ellis, Andre
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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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