DRS. Ellis & Mefford Dental Associates, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS007966 Issued in TN

Legal business name

DRS. ELLIS & MEFFORD DENTAL ASSOCIATES, PLLC

Practice address

2806 W Market St
Johnson City, TN 37604-5166

Phone

(423) 434-1370

Fax

(423) 434-9965

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Milton Keith Ellis, D.D.S.NPI 1154450294

Title

Doctor

Phone

(423) 434-1370

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Milton Keith Ellis, D.D.S.

  • General Practice Dentistry
  • Johnson City, TN
  • NPI 1154450294
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619092152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 W MARKET ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045166",
            "telephone_number": "423-434-1370",
            "fax_number": "423-434-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 W MARKET ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045166",
            "telephone_number": "423-434-1370",
            "fax_number": "423-434-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. ELLIS & MEFFORD DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "423-434-1370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS004187",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS007966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad A Drey, MD
• Daniel Brooks Drinnen, M.D.
• Morgan Driskill
• DRS Montenegro & de Wit
• DRS. Bradshaw and Hathaway
• DRS. Kellum & Pike, PC Optometrists
• Michael N. Dube, MD
• Barbara Eileen Dubois
• Sanya Dudani, MD
• Gloria M Dudney, RN

• General Practice Dentistry in Johnson City, TN
• Providers in Johnson City, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.