JERRY R ELLIS DDS PC
NPI 1073516365
Dentist - General Practice in Midlothian, TX
About Jerry R Ellis Dds Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY R ELLIS DDS PC (NPI 1073516365) is an individual general practice provider in Midlothian, Texas, licensed in Texas (13742) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerry R Ellis Dds Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDLOTHIAN, TX 76065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073516365, enumerated as an "individual" on May 31, 2005.
The provider is located at 404 W MAIN ST MIDLOTHIAN, TX 76065 and the phone number is (972) 775-2345.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.