Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry R Ellis DDS PC

Individual provider General Practice Dentistry · NPI 1073516365

Jerry R Ellis DDS PC is a General Practice Dentistry in Midlothian, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005

Practice location Address checks out

404 W Main St
Midlothian, TX 76065-2946
Phone: (972) 775-2345
Fax: (972) 775-4729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 13742 (TX)

Record details

NPI number1073516365
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

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