Terry Randal Ellis, DMD is an oral and maxillofacial surgery dentist in Augusta, GA. The provider is an oral and maxillofacial surgery dentist specialized in 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. Terry Randal Ellis, DMD NPI is 1255307831. 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:
1244 AUGUSTA WEST PARKWAY
AUGUSTA, GA
ZIP 30909
Phone: (706) 855-7220
Fax: (706) 855-7260
The NPI 1255307831 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), Power Mobility Devices.
The enumeration date for this NPI number is 2/24/2006 and was last updated on 7/8/2007.