Individual
DR. JESSICA CHRISTINE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12400 E US HIGHWAY 40, INDEPENDENCE, MO 64055-5929
(816) 897-5850
(816) 897-5851
Mailing address
1221 NE BEACON AVE, LEES SUMMIT, MO 64086-8454
(816) 521-1312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2016001693
MO
Other
Enumeration date
06/07/2012
Last updated
07/09/2024
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