ELLIS DENTAL LLC – NPI #1558895490
Clinic/Center

ELLIS DENTAL LLC is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1558895490 to ELLIS DENTAL LLC on April 18, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELLIS DENTAL LLC below.

NPI Profile for
ELLIS DENTAL LLC

NPI Number
1558895490
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELLIS DENTAL LLC
Primary location
10296 BIG BEND RD
SUITE 207
SAINT LOUIS, MO 63122-6498
Phone: (314) 965-1334 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HOLLY ELLIS
OWNER
Phone: (314) 965-1334
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 MO 2006021179

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.