Randall William Ellis is a Colorado Springs, Colorado based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Randall William Ellis is DEN-8475 for General Practice Dentistry in Colorado. His current practice location is 2859 E Fountain Blvd, Colorado Springs. Patients can reach him at 719-442-0071.
Randall William Ellis is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Randall William Ellis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Randall William Ellis
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2859 E Fountain Blvd, Colorado Springs, Colorado, 80910-2312
Phone:
719-442-0071
Fax:
719-473-5303
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 are as mentioned below.
NPI Number:
1427026095
NPI Enumeration Date:
09 Mar, 2006
NPI Last Update On:
01 Jun, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall William Ellis are as mentioned below.
License Number
Specialization
State
Status
DEN-8475
General Practice Dentistry
Colorado
Primary
D4260
General Practice Dentistry
Idaho
Secondary
4783
General Practice Dentistry
Oklahoma
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Randall William Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
41506367
Medicaid
New Mexico
200371660A
Medicaid
Kansas
04880323
Medicaid
Colorado
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
201 W 8th St, Suite 810 Pueblo, Colorado
Zip:
81003-3038
Phone Number:
719-562-4447
Fax Number:
719-583-1801
Patients can reach Randall William Ellis at 2859 E Fountain Blvd, Colorado Springs, Colorado or can call to book an appointment on 719-442-0071. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.