Ellis, Sammy Dale
Ellis, Sammy Dale is an sole proprietor health care provider with primary practice located at 2221 Knollwood Drive , Snellville GA 30078. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Ellis, Sammy Dale can be contacted via phone (770) 972-7911.Contact Information
Primary practice address
2221 Knollwood Drive
Snellville GA 30078
Phone: (770) 972-7911
Fax: (770) 978-3767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN012320 | Georgia |
Profile Details
| NPI number | 1639112345 |
|---|---|
| LBN Legal business name | Ellis, Sammy Dale |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Dec 11th, 2012 - about 12 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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