# DR. ELLIS & ASSOCIATES, D.D.S., OF HOPEWELL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellis Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326610221
- **Authorized official:** CHAD HENDRICKS (CREDENTIALING MANAGER)
- **Authorized official phone:** (612) 859-0444

## 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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2021
- **Last updated:** 07/12/2021