Spencer A. Ellis
General Practice
170 Scott High Dr, Huntsville
Tennessee, 37756-4152
423-663-4444 423-663-4439
Spencer A. Ellis is not a DME supplier for medicare equipment and products.Spencer A. Ellis is a General Practice in Huntsville, Tennessee. It is located at 170 Scott High Dr, Huntsville and it's customer support contact number is 423-663-4444. The authorized person of Spencer A. Ellis is Spencer A. Ellis, D.D.S. who is Owner of this DME and his contact number is 423-663-4444. Active license number of Spencer A. Ellis is DS7646 for General Practice in Tennessee.
Spencer A. Ellis is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
DME Supplier Details:
Spencer A. Ellis type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Spencer A. Ellis |
| Type: | General Practice |
| Location: | 170 Scott High Dr, Huntsville, Tennessee, 37756-4152 |
| Phone: | 423-663-4444 |
| Fax: | 423-663-4439 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Spencer A. Ellis |
| Credentials: | D.D.S. |
| Position: | Owner |
| Contact Number: | 423-663-4444 |
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 of given supplier are as mentioned below.
| NPI Number: | 1194900464 |
| NPI Enumeration Date: | 07 Jan, 2008 |
| NPI Last Update On: | 02 Oct, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Spencer A. Ellis are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DS7646 | Tennessee | Primary | |
| Customized Equipment | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3139906 | Other | Tennessee | Blue Cross Blue Sheild |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 209, Huntsville, Tennessee |
| Zip: | 37756-0209 |
| Phone Number: | 423-663-4444 |
| Fax Number: | 423-663-4439 |
Patients can reach Spencer A. Ellis at
170 Scott High Dr, Huntsville, Tennessee or can
call on customer care at 423-663-4444.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.