DR. Robert E Ellis, DDS is an oral and maxillofacial surgery dentist in Lawrenceville, GA. The provider is the specialty of dentistry which includes 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. DR. Robert E Ellis, DDS NPI is 1053320028. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
745 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30045-317
Phone: (770) 962-9515
Fax: (770) 962-2722
The NPI 1053320028 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/7/2006 and was last updated on 7/8/2007.