# ARLAN R ELLIS DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558618983
- **Authorized official:** DR. ARLAN ELLIS (OWNER)
- **Authorized official phone:** (406) 328-4507

## Contact information

- **Practice address:** 24 S. WOODARD AVE, ABSAROKEE, MT 59001-0505
- **Practice address phone:** (406) 328-4507
- **Practice address fax:** (406) 328-4507
- **Mailing address:** PO BOX 505, ABSAROKEE, MT 59001-0505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2172 | MT | Yes |

## Other

- **Enumeration date:** 08/03/2012
- **Last updated:** 08/03/2012
