Individual
JACQUELINE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
715 MORTON ST, PARIS, TN 38242-4296
(731) 363-8803
Mailing address
210 PEACEFUL MEADOWS LN, PARIS, TN 38242-7552
(731) 363-8803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12907
TN
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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