Ellisor, Thomas Alan

Ellisor, Thomas Alan is an individual health care provider with primary practice located at 103 N Dixie Dr , Lake Jackson TX 77566-5940. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ellisor, Thomas Alan can be contacted via phone (979) 297-6438.

Contact Information

Primary practice address

103 N Dixie Dr Lake Jackson TX 77566-5940

Phone: (979) 297-6438

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / Dentist	122300000X	28931	Texas

Profile Details

NPI number	1649617838
LBN Legal business name	Ellisor, Thomas Alan
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 28th, 2013
Last updated	May 28th, 2013 - 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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