ELLIS DENTAL LLC
NPI 1558895490
Clinic/Center - Dental in Saint Louis, MO

Active since April 18, 2017
10296 BIG BEND RD, SUITE 207, SAINT LOUIS, MO 63122(314) 965-1334 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellis Dental Llc NPPES

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

ELLIS DENTAL LLC (NPI 1558895490) is a healthcare organization registered as a dental in Saint Louis, Missouri and active in the NPI registry since April 2017. The organization lists Holly Christine Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1558895490
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELLIS DENTAL LLC
Location Address10296 BIG BEND RD, SUITE 207Saint Louis, MO 63122-6498
Mailing Address10296 Big Bend Rd, Suite 207Saint Louis, MO 63122-6498 · (314) 965-1334
Organization SubpartNo
Authorized OfficialHolly Christine EllisOwner · (314) 965-1334
Enumeration DateApril 18, 2017
NPI 1558895490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MO · 2006021179
10296 BIG BEND RD, Saint Louis, MO 63122

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.

Urology
10296 BIG BEND RD, SUITE 205
SAINT LOUIS, MO 63122
Urology
10296 BIG BEND RD, SUITE 205
KIRKWOOD, MO 63122
Anesthesiology
10296 BIG BEND RD
SAINT LOUIS, MO 63122
Urology
10296 BIG BEND RD, SUITE 205
SAINT LOUIS, MO 63122
Urology
10296 BIG BEND RD, SUITE 205
KIRKWOOD, MO 63122
Urology
10296 BIG BEND RD, SUITE 205
SAINT LOUIS, MO 63122

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 Ellis Dental LLC's NPI number?

The NPI number for Ellis Dental LLC is 1558895490. It was assigned to this organization in the NPPES registry on April 18, 2017.

Where is Ellis Dental LLC located?

Ellis Dental LLC is located at 10296 Big Bend Rd Suite 207, Saint Louis, MO 63122. The listed phone number is (314) 965-1334.

What is Ellis Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Ellis Dental LLC was last updated on April 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.