# DAVID L. ELLIS, DDS, LTD

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

## Provider details

- **NPI number:** 1841471737
- **Authorized official:** MRS. JULIA C ELLIS (OFFICE MANAGER)
- **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 |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 11395 | VA | — |
| 261QD0000X | Dental Clinic/Center | 5245 | VA | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 11/19/2007
