National Provider Identifier Database

RANDALL A ELLIS, DDS – NPI #1740328046
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

RANDALL A ELLIS, DDS
312 ARKANSAS BLVD
TEXARKANA, AR71854-1905
Phone: 870-772-1374
Fax: 870-774-6814
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for RANDALL A ELLIS

NPI Number 1740328046
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • AR License #: 3050
Hospital affiliation n/a

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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