Organization
ELLIS FAMILY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CLIFFORD ELLIS DDS MSD (ORTHODONTIST)
(317) 881-1161
Entity
Organization
Contact information
Practice address
8849 SHELBY ST, INDIANAPOLIS, IN 46227-7508
(317) 881-1161
Mailing address
8849 SHELBY ST, INDIANAPOLIS, IN 46227-7508
(317) 881-1161
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12011479A
IN
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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