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Individual

DR. JAMES D. ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
12100 W CENTER RD, STE. 521, OMAHA, NE 68144-3969
(402) 333-3343
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
122300000X
Dentist
08694
IA
122300000X
Dentist
Primary
6920
NE
1223G0001X
General Practice Dentistry
9440
CO

Other

Enumeration date
07/10/2007
Last updated
08/31/2023
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