# DR. JAMES D. ELLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598963647
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 08694 | IA | — |
| 122300000X | Dentist | 6920 | NE | Yes |
| 1223G0001X | General Practice Dentistry | 9440 | CO | — |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 08/31/2023