Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAYLOR AUSTIN ELLSON, DMD
Active Sole ProprietorDR. TAYLOR AUSTIN ELLSON, DMD is a General Dentistry healthcare provider located in SHADY COVE, Oregon. NPI 1164038030 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SHADY COVE, OR
Registration Details
- NPI Number
- 1164038030
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2020 (5.8947185679725 yrs)
- Last Updated
- Sep 16, 2020
- License
-
D11324 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21300 HIGHWAY 62SHADY COVE, OR, 975397707Browse OR providers · Browse ZIP 97539
- Phone
- 5418782115
- Fax
- 5418782117
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SHADY COVE, OR
| Name | Credential | NPI |
|---|---|---|
| DR. PHILLIP BRUCE LASSEN | D.M.D. | 1053424622 |
| CASEY DEAN CLINGAN | DMD | 1750861431 |
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.