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RANDALL A. ELLIS, DDS, PLLC
NPI 1114619657
Dentist - General Practice in Texarkana, TX

Active since May 23, 2023
4617 SUMMERHILL RD STE 3, TEXARKANA, TX 75503(903) 838-5506 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Randall A. Ellis, Dds, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL A. ELLIS, DDS, PLLC (NPI 1114619657) is a healthcare organization registered as a general practice in Texarkana, Texas and active in the NPI registry since May 2023. The organization lists Randall Allen Ellis, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1114619657
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRANDALL A. ELLIS, DDS, PLLC
Location Address4617 SUMMERHILL RD STE 3Texarkana, TX 75503-2783
Mailing Address4617 Summerhill Rd Ste 3Texarkana, TX 75503-2783 · (039) 838-5506
Phone(903) 838-5506
Organization SubpartNo
Authorized OfficialRandall Allen EllisOwner/dentist · (903) 838-5506
Enumeration DateMay 23, 2023
NPPES CertifiedMay 23, 2023
✔ NPI 1114619657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

4617 SUMMERHILL RD STE 3, Texarkana, TX 75503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRIA LAINE OLIVER DDS
Dentist (General Practice)
4617 SUMMERHILL RD STE 3
TEXARKANA, TX 75503
Bowie County (903) 838-5506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall A. Ellis, Dds, PLLC's NPI number?

The NPI number for Randall A. Ellis, Dds, PLLC is 1114619657. It was assigned to this organization in the NPPES registry on May 23, 2023.

Where is Randall A. Ellis, Dds, PLLC located?

Randall A. Ellis, Dds, PLLC is located at 4617 Summerhill Rd Ste 3, Texarkana, TX 75503. The listed phone number is (903) 838-5506.

What is Randall A. Ellis, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Randall A. Ellis, Dds, PLLC accept?

Health plans from UnitedHealthcare list Randall A. Ellis, Dds, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall A. Ellis, Dds, PLLC was last updated on May 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.