-- ROGER TERRY ELLIS -- D.D.S.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1396759189- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S.
- Status
- Active
Contact & Location
- Address
- 1718 MEMORIAL DR, CLARKSVILLE, TN, 370434542
- Phone
- (931) 552-4935
- Fax
- (931) 552-0959
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: TN #4003