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Active NPI 1073516365 Individual Practitioner Male Practitioner

Jerry R Ellis Dds Pc

Dentist - General Practice • Midlothian, TX

Professional Overview & Biography Verified Profile Summary

Jerry Ellis Dds Pc is a registered healthcare professional specializing in Dentist - General Practice in Midlothian, TX. Practice services are available at 404 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

404 W Main St

Midlothian, TX 760652946

Telephone 9727752345
Fax 9727754729
Associated Practice Facility / Clinic
🏢 Jerry R Ellis Dds Pc Facility NPI 1982304267

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Midlothian, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Midlothian, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 13742

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated March 09, 2023

Recorded as JERRY ELLIS DDS PC

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 404 W MAIN ST, MIDLOTHIAN, TX 760652946 (Tel: 9727752345)

📍
Updated Business Mailing Address July 08, 2007

Registered at 404 W MAIN ST, MIDLOTHIAN, TX 760652946 (Tel: 9727752345)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY ELLIS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #13742 in TX)

🟢
Initial NPI Registration & Enumeration May 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073516365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2005
Last Update: March 09, 2023
Sole Proprietor: No

Mailing Address

404 W Main St

Midlothian, TX 760652946

Phone: 9727752345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.