Individual
DR. GREGORY H. ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
33 TEMPLE ST, RUTLAND, VT 05701-3543
(802) 775-0408
Mailing address
40 WASHINGTON ST, RUTLAND, VT 05701-5031
(802) 773-8665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160000609
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001858
—
VT
01
—
0609
STATE LICENSE
VT
Enumeration date
06/15/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us