Ellis, Bita Ashley

Ellis, Bita Ashley is an individual health care provider with primary practice located at Sunshine Dentists 6035 Burble Centre Pkwy Suite #260, Burke VA 22015. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ellis, Bita Ashley can be contacted via phone (703) 978-1446.

Contact Information

Primary practice address
Sunshine Dentists 6035 Burble Centre Pkwy Suite #260 Burke VA 22015
Fax: (703) 715-9229
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401-411106 Virginia

Profile Details

NPI number 1154545747
LBN Legal business name Ellis, Bita Ashley
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Sep 9th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154545747 NPPES
Virginia Other 0401-411106 VA. DENTAL LICENSE

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