Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLYSE LOOK, DMD
Active Sole ProprietorELLYSE LOOK, DMD is a Dentist healthcare provider located in ROSEBURG, Oregon. NPI 1619647583 is currently active in the NPPES registry. Verify at CMS.
Dentist · ROSEBURG, OR
Registration Details
- NPI Number
- 1619647583
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2021 (4.9085134612197 yrs)
- Last Updated
- Sep 14, 2021
- License
-
D11539 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1729 W HARVARD AVE STE 1ROSEBURG, OR, 974712795Browse OR providers · Browse ZIP 97471
- Phone
- 5416730131
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JOE WAYNE HOWARD JR. | D.D.S. | 1801881974 |
| ROBERT M ORR | D.D.S. | 1851348437 |
| DR. ANDREA S. BRAUN | DDS | 1386668044 |
| DR. WILLIAM LEE WILLIS | DDS | 1528150299 |
| GEOFFREY A STARK | DMD | 1326131970 |
| ADAM DAVID DAVIS | DMD | 1770660912 |
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.