Randall A. Ellis, Dds, Pllc

LBN: Randall A. Ellis, Dds, Pllc
Randall A. Ellis, Dds, Pllc is an health care organization with primary practice located at 4617 Summerhill Rd Ste 3 , Texarkana TX 75503-2783. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Randall A. Ellis, Dds, Pllc can be contacted via phone (903) 838-5506, or through Ellis, Randall Allen via phone (903) 838-5506.

Contact Information

Primary practice address
4617 Summerhill Rd Ste 3 Texarkana TX 75503-2783
Phone: (903) 838-5506
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Randall Allen Doctor of Dental Surgery (DDS)
Phone: (903) 838-5506

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1114619657
LBN Legal business name Randall A. Ellis, Dds, Pllc
DBA Doing business as
Authorized official Ellis, Randall Allen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2023
Last updated May 23rd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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