JERRY R ELLIS DDS PC NPI 1982304267

NPI Information

  • NPI: 1982304267
  • Provider Name: JERRY R ELLIS DDS PC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Other Name: JERRY R ELLIS DDS PC
  • Address: 404 W MAIN ST
    MIDLOTHIAN, TX
    ZIP 76065
  • Phone: (972) 775-2345

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NPI Details

JERRY R ELLIS DDS PC is a customized equipment durable medical equipment medical supplies in Midlothian, TX. JERRY R ELLIS DDS PC NPI is 1982304267. The provider is registered as an organization entity type.
The provider Other Name Is Jerry R Ellis Dds Pc.

The provider's business location address is:

404 W MAIN ST
MIDLOTHIAN, TX
ZIP 76065-946
Phone: (972) 775-2345

The provider's authorized official is Jerry R Ellis .
The authorized official title is Owner/dentist and has the following contact phone number (972) 775-2345.

The enumeration date for this NPI number is 3/6/2023 and was last updated on 4/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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