# ELLIS FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL VIRGINIA DENTAL CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023550233
- **Legal business name:** CENTRAL VIRGINIA DENTAL CARE
- **Authorized official:** DR. JONATHAN HUNTER ELLIS DDS (DENTIST/OWNER)
- **Authorized official phone:** (804) 458-6733

## Contact information

- **Practice address:** 3416 WOODLAWN ST, HOPEWELL, VA 23860-4738
- **Practice address phone:** (804) 458-6733
- **Mailing address:** 3416 WOODLAWN ST, HOPEWELL, VA 23860-4738
- **Mailing address phone:** (804) 458-6733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2016
- **Last updated:** 11/07/2016