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PHILIP B ELLEDGE, DMD – NPI #1437114246
Oral & Maxillofacial Surgery

NPI Profile for PHILIP B ELLEDGE in HUNTSVILLE, AL.

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Contact Information

PHILIP B ELLEDGE, DMD
2314 PANSY ST SW
HUNTSVILLE, AL  35801-3803
 Phone: 256-534-5028
 Fax: 256-534-5073
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

 204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PHILIP B ELLEDGE · (Male)

NPI Number 1437114246
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 04/18/2006
Last updated 08/15/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 5313C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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