Individual
DR. SAMMY DALE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2221 KNOLLWOOD DRIVE, SNELLVILLE, GA 30078
(770) 972-7911
(770) 978-3767
Mailing address
2221 KNOLLWOOD DRIVE, SNELLVILLE, GA 30078
(770) 972-7911
(770) 978-3767
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN012320
GA
Other
Enumeration date
06/13/2006
Last updated
12/11/2012
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