David Chad Ellis, D.D.S.
Individual provider Active NPI General Practice Dentistry · Greenbrier, TN
NPI 1841397007 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1841397007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS7699 (TN)
- Practice address
- 2524 Highway 41 S
Greenbrier, TN 37073-4544 - Phone
- (615) 643-4006
- Fax
- (615) 643-8610
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS7699 | TN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS7699 | TN | Yes |
Addresses
Primary practice location
2524 Highway 41 S
Greenbrier, TN 37073-4544
Mailing address
2524 Highway 41 S
Greenbrier, TN 37073-4544
Phone (615) 643-4006
Other providers in Greenbrier, TN
- Connie Marie Barbour
- Ashley Basham
- Deanna Sue Coker
- Christine A Demers
- Serne Elderwood
- Jennifer Lynn Evangelist
- Family Healthcare Associates of Greenbrier
- Fast Pace Medical Clinic PLLC
- Five and Two Therapy and Wellness, PLLC
- Five Star ABA, Inc.
All providers in Greenbrier, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.