Individual
DR. JAMES COBB ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
801 N ELM ST, HENDERSON, KY 42420-2705
(270) 827-2555
Mailing address
801 N ELM ST, HENDERSON, KY 42420-2705
(270) 827-2555
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4111
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60041118
—
KY
Enumeration date
01/04/2007
Last updated
11/09/2021
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