Provider Demographics
NPI:1447095203
Name:COLLINS, EL'LOHNA DENISE (DDS)
Entity type:Individual
Prefix:DR
First Name:EL'LOHNA
Middle Name:DENISE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 MCEWEN RD APT 14107
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-5454
Mailing Address - Country:US
Mailing Address - Phone:469-747-5214
Mailing Address - Fax:
Practice Address - Street 1:4050 MCEWEN RD APT 14107
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-5454
Practice Address - Country:US
Practice Address - Phone:469-747-5214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX406731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice