Ellis, Robert H.

Ellis, Robert H. is an individual health care provider with primary practice located at 8905 Two Notch Rd , Columbia SC 29223-6367. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Ellis, Robert H. can be contacted via phone (803) 788-9593.

Contact Information

Primary practice address
8905 Two Notch Rd Columbia SC 29223-6367
Phone: (803) 788-9593
Fax: (803) 788-3123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 10406 South Carolina
Dental Providers / Pediatric Dentistry 1223P0221X 3691 South Carolina

Profile Details

NPI number 1023079654
LBN Legal business name Ellis, Robert H.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 10th, 2023 - about last year

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 1023079654 NPPES
South Carolina MEDICAID ZA9724
South Carolina MEDICAID ZX3691

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