Individual
DR. CRAIG MEREDITH ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
306 E MAIN ST, SILVERTON, OR 97381-1715
(503) 873-6118
(503) 873-8220
Mailing address
306 E MAIN ST, SILVERTON, OR 97381-1715
(503) 873-6118
(503) 873-8220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5875
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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