Ellis, Milton Keith

Ellis, Milton Keith is an individual health care provider with primary practice located at 2806 W Market St , Johnson City TN 37604-5166. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ellis, Milton Keith can be contacted via phone (423) 434-1370.

Contact Information

Primary practice address
2806 W Market St Johnson City TN 37604-5166
Fax: (423) 434-9965
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DSOO4187 Tennessee

Profile Details

NPI number 1154450294
LBN Legal business name Ellis, Milton Keith
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 18 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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