Dr. Heidi Susan Ellis
Dentist - General Practice
Naval Postgraduate School 8901 Wisconsin Ave
Bethesda
, Maryland 20889-5602
Dr. Heidi Susan Ellis
Dentist - General Practice
Naval Postgraduate School 8901 Wisconsin Ave
Bethesda
, Maryland 20889-5602
(301) 295-0145
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Heidi Susan Ellis
- Naval Postgraduate School 8901 Wisconsin Ave
- Bethesda, MD
- Zip : 20889-5602
- Phone : (301) 295-0145
Second Address
- Dr. Heidi Susan Ellis
- Naval Postgraduate School 8901 Wisconsin Ave
- Bethesda, MD
- Zip : 20889-5602
- Phone : (301) 295-0145
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 2901018715 | MI |
| Y | 213EG0000X | General Practice | 2901018715 | MI |
National Provider Identifier
| NPI | 1003891201 |
|---|---|
| Provider Name | Dr. Heidi Susan Ellis |
| First Address | Bethesda, MD 20889-5602 |
| Second Address | Bethesda, MD 20889-5602 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/12/2005 |
| Last Update Date | 05/08/2013 |
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.