Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRENT PARKER ELLIS, DMD
ActiveTRENT PARKER ELLIS, DMD is a Oral & Maxillofacial Surgery healthcare provider located in JOINT BASE LEWIS MCCHORD, Washington. NPI 1356828347 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · JOINT BASE LEWIS MCCHORD, WA
Registration Details
- NPI Number
- 1356828347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2018 (8.1015999604687 yrs)
- Last Updated
- Sep 6, 2023
- Licenses
-
61404526 (WA)10101 (KY)
Practice Information
- Address
-
9040A JACKSON AVENUEJOINT BASE LEWIS MCCHORD, WA, 984317719Browse WA providers · Browse ZIP 98431
- Phone
- 2539680174
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Dentist
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.