Individual
DR. PAUL DEWITT ELLZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1101 E MAIN ST, PRATTVILLE, AL 36066-5625
(334) 358-4252
(334) 358-4282
Mailing address
1101 E MAIN ST, PRATTVILLE, AL 36066-5625
(334) 358-4252
(334) 358-4282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4372
AL
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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