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Dr. Paul Dewitt Ellzey, D.D.S.

Dentist, General Practice in Prattville, AL. Individual provider (NPI-1).

NPI number1558489245
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1558489245
Entity type
Individual (NPI-1)
Name
Dr. Paul Dewitt Ellzey
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 27, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice4372ALYes

Practice location

1101 E Main St
Prattville, AL 36066-5625

Phone 334-358-4252 · Fax 334-358-4282

Mailing address

1101 E Main St
Prattville, AL 36066-5625

Phone 334-358-4252 · Fax 334-358-4282

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