Charles L. Ellis, DDS, MD
Oral & Maxillofacial Surgery · Green Bay, WI
UnclaimedDDS, MDNPI 1013098698
- Primary taxonomy
- 1223S0112X
- Enumerated
- 2006-10-18
- Practice location
- Green Bay, WI
- Last NPPES update
- 2025-08-20
State licenses
- IL · Dentist · NPPES self-reportedListed on NPI record
- NC · Dentist · NPPES self-reportedListed on NPI record
- VA · Dentist · NPPES self-reportedListed on NPI record
- VA · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.