NPI 1003309592

Courtney Cunningham Ellis, DDS

Practitioner Dentist Dallas, TX

Practice location

Address: 1777 N Record St APT 2402, Dallas, TX 75202-1260
Phone: (806) 570-0488

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 34172 (TX)

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Registry record

NPI: 1003309592
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2018
Record last updated: 22 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.