Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEREMY W ELLIS, D.D.S.

Active Sole Proprietor

DR. JEREMY W ELLIS, D.D.S. is a General Dentistry healthcare provider located in LOGAN, Utah. NPI 1568558468 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LOGAN, UT

Registration Details

NPI Number: 1568558468
Provider Type: Individual
Gender: Male
NPI Issued: Oct 5, 2006 (19.824872076967 yrs)
Last Updated: Jul 8, 2007
License: 99-373-9289922 (UT)
Sole Proprietor: Yes

Practice Information

Address: 965 S 100 W

#102

LOGAN, UT, 843216062
Browse UT providers · Browse ZIP 84321
Phone: 4357529741
Fax: 4357535169
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in LOGAN, UT

Name	Credential	NPI
MR. KEITH DAINES HAMMOND	D.D.S.	1366486524
DR. MARK JARED THORNLEY	D.D.S.	1912926882
J. GREG LAMBERT	D.D.S.	1396767661
REED E JORGENSEN	D.D.S	1598788333
RALPH WAYNE BINNS	DDS	1831107523
DR. DARWIN DON HARRIS	D.D.S	1508973942

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.