NPI age
20 years
Enumerated 2006-02-24
● Active
Type 1 · Individual
Terry Randal Ellis, DMD
Ellis is 1 of 23 dentist providers in Augusta and 1 of 358 in Georgia.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, MS
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org
How this provider compares
Across 358 active dentist providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
1244 Augusta West Parkway
Augusta, GA 30909
Mailing address
1244 Augusta West Parkway
Augusta, GA 30909
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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