Ellis Village Dental Group, Prof. Corp.
Dental Clinic
2100 Ellis Town Dr Ste 105, Tracy
California, 95377-9033
209-395-2393 209-229-4303
Maps & DirectionsEllis Village Dental Group, Prof. Corp. is a Dental Clinic in Tracy, California. It is located at 2100 Ellis Town Dr Ste 105, Tracy, CA and its contact number is 209-395-2393. The authorized person for Ellis Village Dental Group, Prof. Corp. is Khaled Entabi
who is Owner of the clinic and their contact number is 209-395-2393.
Ellis Village Dental Group, Prof. Corp. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Ellis Village Dental Group, Prof. Corp. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ellis Village Dental Group, Prof. Corp. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2100 Ellis Town Dr Ste 105, Tracy,
California, 95377-9033 |
| Phone: | 209-395-2393 |
| Fax: | 209-229-4303 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Khaled Entabi |
| Position: | Owner |
| Contact Number: | 209-395-2393 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ellis Village Dental Group, Prof. Corp. clinic are as mentioned below.
| NPI Number: | 1245145051 |
| NPI Enumeration Date: | 17 Aug, 2026 |
| NPI Last Update On: | 17 Aug, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellis Village Dental Group, Prof. Corp. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ellis Village Dental Group, Prof. Corp.
Po Box 660041,
Dallas, Texas |
| Zip: | 75266-0041 |
| Phone Number: | 714-845-8890 |
| Fax Number: | 303-952-0892 |
Patients can reach Ellis Village Dental Group, Prof. Corp. at
2100 Ellis Town Dr Ste 105, Tracy, California or can
call to book an appointment on 209-395-2393.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
14 September, 2026.