NPI 1255565065

Steven L. Ellis, LD

Practitioner Denturist Old Orchard Beach, ME

Practice location

Address: 155 Saco Ave, Old Orchard Beach, ME 04064-1600
Phone: (207) 934-5411

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence 5005 (ME)

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Registry record

NPI: 1255565065
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2009
Record last updated: 7 May 2009

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.