Individual
DR. JAMES MORTON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
706 39TH ST W, BRADENTON, FL 34205-2454
(941) 748-0660
(941) 747-1868
Mailing address
706 39TH ST W, BRADENTON, FL 34205-2454
(941) 748-0660
(941) 747-1868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6344
FL
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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