Individual
DR. ELLEN G. NIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
3555 CLIFFHANGER WAY, ZANESVILLE, OH 43701-6420
(740) 450-3636
(740) 450-8321
Mailing address
3555 CLIFFHANGER WAY, ZANESVILLE, OH 43701-6420
(740) 450-3636
(740) 450-8321
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18992
OH
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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