Individual
DR. SCOTT THOMAS ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 MAIN ST STE 4, WILLISTON, ND 58801-5327
(701) 577-1000
Mailing address
501 MAIN ST STE 4, WILLISTON, ND 58801-5327
(701) 577-1000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1708
ND
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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