Individual
HAYDEN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
312 ARKANSAS BLVD, TEXARKANA, AR 71854-1905
(870) 772-1374
(870) 774-6814
Mailing address
312 ARKANSAS BLVD, TEXARKANA, AR 71854-1905
(870) 772-1374
(870) 774-6814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39683
TX
Other
Enumeration date
06/21/2023
Last updated
02/03/2025
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