Individual
DR. MILTON KEITH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2806 W MARKET ST, JOHNSON CITY, TN 37604-5166
(423) 434-1370
(423) 434-9965
Mailing address
2806 W MARKET ST, JOHNSON CITY, TN 37604-5166
(423) 434-1370
(423) 434-9965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSOO4187
TN
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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