Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WAYNE R. ELLIS, D.D.S.
Active Sole ProprietorDR. WAYNE R. ELLIS, D.D.S. is a Endodontics healthcare provider located in BOISE, Idaho. NPI 1427166024 is currently active in the NPPES registry. Verify at CMS.
Endodontics · BOISE, ID
Registration Details
- NPI Number
- 1427166024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2006 (19.939438476912 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D-1522 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6363 W EMERALD STBUILDING 102BOISE, ID, 837048783Browse ID providers · Browse ZIP 83704
- Phone
- 2083766307
- Fax
- 2083769011
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JERRY MICHAEL CARBONE | D.M.D. | 1316050628 |
| DR. BRUCE E NEWCOMB | DDS | 1265540835 |
| DR. MICHAEL JOHN BINGHAM | D.D.S. | 1124139134 |
| HILARY I DUNSTAN | DDS | 1811077589 |
| DR. BRENT L CHAPMAN | DDS | 1932259173 |
| DR. ADAM J SHIPP | DMD, MS | 1114077369 |
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.