Organization
K. CLAY ELLIS, JR., DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GREGORY (OFFICE MANAGER)
(256) 543-1285
Entity
Organization
Contact information
Practice address
311 S 5TH ST STE A, GADSDEN, AL 35901-4253
(256) 543-1285
(256) 543-1719
Mailing address
311 S 5TH ST STE A, GADSDEN, AL 35901-4253
(256) 543-1285
(256) 543-1719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
06/14/2022
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