Ellis, Christine Porter

Ellis, Christine Porter is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7201. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Ellis, Christine Porter can be contacted via phone (214) 645-3999.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7201
Phone: (214) 645-3999
Fax: (214) 648-2918
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 18307 Texas

Profile Details

NPI number 1538124342
LBN Legal business name Ellis, Christine Porter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 11th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538124342 NPPES
Texas MEDICAID 164228201

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