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ROGER TERRY ELLIS D.D.S.
NPI 1396759189
Dentist - Oral and Maxillofacial Surgery in Clarksville, TN

Active since July 28, 2006
1718 MEMORIAL DR, CLARKSVILLE, TN 37043(931) 552-4935(931) 552-0959 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roger Terry Ellis D.d.s. NPPES

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

ROGER TERRY ELLIS D.D.S. (NPI 1396759189) is an individual oral and maxillofacial surgery provider in Clarksville, Tennessee, licensed in Tennessee (4003) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1396759189
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameROGER TERRY ELLISCredential: D.D.S.
Location Address1718 MEMORIAL DRClarksville, TN 37043-4542
Mailing Address1718 Memorial DrClarksville, TN 37043-4542 · (931) 552-4935 · Fax (931) 552-0959
Phone(931) 552-4935
Fax(931) 552-0959
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396759189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TN · 4003
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1718 MEMORIAL DR, Clarksville, TN 37043
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Other Identifiers 2

Medicare ID-Type Unspecified3226263TN
Medicare UPINU71539TN

Other Providers at the Same Location NPPES 6

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

PRESTON T HASTON DC
Chiropractor
1718 MEMORIAL DR
CLARKSVILLE, TN 37043
Montgomery County (931) 444-5955
CLARKSVILLE ORAL AND FACIAL SURGERY, PLLC
Dentist (Oral and Maxillofacial Surgery)
1718 MEMORIAL DR
CLARKSVILLE, TN 37043
Montgomery County (931) 552-4935
MCCURDY & ELLIS. PLC
Clinic/Center (Oral and Maxillofacial Surgery)
1718 MEMORIAL DR
CLARKSVILLE, TN 37043
Montgomery County (931) 552-4935
DR. ANTHONY JOSEPH LINZA JR. D.C., FIAMA
Chiropractor
1718 MEMORIAL DR
CLARKSVILLE, TN 37043
Montgomery County (931) 444-5955
KNOWBULL CHIROPRACTIC
Chiropractor
1718 MEMORIAL DR
CLARKSVILLE, TN 37043
Montgomery County (931) 444-5955
TED R MCCURDY
Dentist (Oral and Maxillofacial Surgery)
1718 MEMORIAL DR
CLARKSVILLE, TN 37043
Montgomery County (931) 552-4935

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 Roger Ellis's NPI number?

The NPI number for Roger Ellis is 1396759189. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Roger Ellis located?

Roger Ellis practices at 1718 Memorial Dr, Clarksville, TN 37043. The listed phone number is (931) 552-4935.

What is Roger Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Roger Ellis was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.