Dr. Charles Lee Ellis
Dentist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon and 2 more
1107 S Fifth St Ste 250
Mebane
, North Carolina 27302-9896
Dr. Charles Lee Ellis
Dentist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon and 2 more
1107 S Fifth St Ste 250
Mebane
, North Carolina 27302-9896
(919) 563-2873
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About
Features
Specialties
- Dentist
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Charles Lee Ellis
- 1107 S. Fifth St. Suite 250
- Mebane, NC
- Zip : 27302
- Phone : (919) 563-2873
Second Address
- Dr. Charles Lee Ellis
- 1107 S Fifth St Ste 250
- Mebane, NC
- Zip : 27302-9896
- Fax : (919) 563-2876
- Phone : (919) 563-2873
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FAQs
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Is Dr. Charles Lee Ellis a sole practitioner?
Is Dr. Charles Lee Ellis accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 8919 | NC |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 019022235 | IL |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 0401411258 | VA |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8919 | NC |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 0101058265 | VA |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 8919 | NC |
National Provider Identifier
| NPI | 1013098698 |
|---|---|
| Provider Name | Dr. Charles Lee Ellis |
| First Address | Mebane, NC 27302 |
| Second Address | Mebane, NC 27302-9896 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2006 |
| Last Update Date | 28/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5914023 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.