Organization
JAMES D. ELLIS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D. ELLIS DDS (OWNER/MANAGER)
(402) 333-3343
Entity
Organization
Contact information
Practice address
12100 W CENTER RD, STE 521, OMAHA, NE 68144-3969
(402) 333-3343
(402) 333-3344
Mailing address
12100 W CENTER RD, STE 521, OMAHA, NE 68144-3969
(402) 333-3343
(402) 333-3344
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6920
NE
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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