Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC EDWARD ELLIS, DMD
Active Sole ProprietorERIC EDWARD ELLIS, DMD is a Pediatric Dentistry healthcare provider located in PEORIA, Arizona. NPI 1093971749 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PEORIA, AZ
Registration Details
- NPI Number
- 1093971749
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2008 (18.024653408302 yrs)
- Last Updated
- Nov 9, 2010
- Licenses
-
2901019386 (MI)2901019386 (MI)7708 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31307 N 137TH AVEPEORIA, AZ, 853837941Browse AZ providers · Browse ZIP 85383
- Phone
- 5863229041
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY WHELAN | DMD | 1912095126 |
| DR. HIREN PATEL | — | 1255418174 |
| MRS. FATIMA PIMENTEL SAIZ | DMD | 1558656223 |
| DR. MORGHAN ELIZABETH TEETERS | D.M.D. | 1649558578 |
| DR. ROBERT DEAN MATTHEWS | DMD | 1942541206 |
| DR. LARRY TYLER JACKSON | D.D.S. | 1396186276 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.