Organization
DRS. ELLIS & MEFFORD DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON KEITH ELLIS D.D.S. (DOCTOR)
(423) 434-1370
Entity
Organization
Contact information
Practice address
2806 W MARKET ST, JOHNSON CITY, TN 37604-5166
(423) 434-1370
(423) 434-9965
Mailing address
2806 W MARKET ST, JOHNSON CITY, TN 37604-5166
(423) 434-1370
(423) 434-9965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS004187
TN
1223G0001X
General Practice Dentistry
Primary
DS007966
TN
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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