Individual
DR. DENNIS JAMES ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
912 N. COMMERCE ST., CENTERVILLE, TX 75833-0129
(903) 536-2018
(903) 536-3333
Mailing address
PO BOX 129, CENTERVILLE, TX 75833-0129
(903) 536-2018
(903) 536-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12962
TX
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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