Hayden Ellis, DDS
Dentist in Texarkana, AR. Individual provider (NPI-1).
NPI number1467137968
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1467137968
- Entity type
- Individual (NPI-1)
- Name
- Hayden Ellis
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2023
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4764 | AR | Yes |
Practice location
312 Arkansas BlvdTexarkana, AR 71854-1905
Phone 870-772-1374 · Fax 870-774-6814
Mailing address
312 Arkansas BlvdTexarkana, AR 71854-1905
Phone 870-772-1374 · Fax 870-774-6814
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