Individual
DR. ALLISON LAWRENCE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6858 OLD DOMINION DR, SUITE 100, MC LEAN, VA 22101-3899
(703) 356-8781
Mailing address
32 TERRACE AVE, RIVERSIDE, CT 06878-2124
(703) 969-4425
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050449-01
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
13003
CT
Other
Enumeration date
03/30/2017
Last updated
01/05/2026
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