Individual
DR. CHARLES H. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6930 CAHABA VALLEY RD, SUITE 1, BIRMINGHAM, AL 35242-2672
(205) 991-7840
(205) 991-9617
Mailing address
6930 CAHABA VALLEY RD, SUITE 1, BIRMINGHAM, AL 35242-2672
(205) 991-7840
(205) 991-9617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3380CS
AL
Other
Enumeration date
10/23/2006
Last updated
07/09/2007
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