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Contact Information

BRENT L ELLIS, DDS
2163HWY 54 EAST SUBURBAN PLAZA
SUITE C
LINTON, IN47441
 Phone: 812-847-8601
 Fax: 812-847-8750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BRENT L ELLIS · (Male)

NPI # 1578695839
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/12/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 12008090
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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