Justin Kade Ellis
Justin Kade Ellis is a Student in an Organized Health Care Education/Training Program in Brentwood, Tennessee. Works from 3 locations. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
Brentwood, TNNo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 1100 Florida Ave, New Orleans, LA 70119-2715 — (504) 619-8700
- 343 Franklin Rd Ste 103, Brentwood, TN 37027 — (615) 343-1313
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 10989 (TN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1356803712 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 4, 2019 |
| Last updated in NPPES | June 28, 2019 |
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