Jerry R Ellis Dds Pc

LBN: Jerry R Ellis Dds Pc
Jerry R Ellis Dds Pc is an health care organization with primary practice located at 404 W Main St , Midlothian TX 76065-2946. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. Jerry R Ellis Dds Pc can be contacted via phone (972) 775-2345, or through Ellis, Jerry R via phone (972) 775-2345.

Contact Information

Primary practice address
404 W Main St Midlothian TX 76065-2946
Phone: (972) 775-2345
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Jerry R Doctor of Dental Surgery (DDS)
Phone: (972) 775-2345

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1982304267
LBN Legal business name Jerry R Ellis Dds Pc
DBA Doing business as Jerry R Ellis Dds Pc
Authorized official Ellis, Jerry R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2023
Last updated Apr 20th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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