OrganizationActive
Ellis Orthodontics, LLC
NPI 1700070331 · Orthodontics and Dentofacial Orthopedics Dentistry · Dyer, IN
Provider details
- NPI number
- 1700070331
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Lawrence Ellis, Orthodontist
- License
- 12009958A (IN)
Practice location
275 US Highway 30
Suite 260
Dyer, IN 46311-1776
Phone: (219) 322-7645
Mailing address
275 US Highway 30
Dyer, IN 46311-1776
Registry dates
- Enumerated
- 2007-08-27
- Last updated
- 2007-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.