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

DR. JOHN RICHARD ELLENBECKER JR., D.D.S.

Active Sole Proprietor

DR. JOHN RICHARD ELLENBECKER JR., D.D.S. is a Dentist healthcare provider located in JUNEAU, Alaska. NPI 1689835050 is currently active in the NPPES registry. Verify at CMS.

Dentist · JUNEAU, AK

Registration Details

NPI Number
1689835050
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2008 (17.981749381425 yrs)
Last Updated
Jun 18, 2008
License
AA0546 (AK)
Sole Proprietor
Yes

Practice Information

Address
2211 JORDAN AVE
JUNEAU, AK, 998018050
Browse AK providers · Browse ZIP 99801
Phone
9077893696
Fax
9077896852
Primary Specialty
Dentist
122300000X

Other Dentist Providers in JUNEAU, AK

Name Credential NPI
DR. THOMAS BENNETT BORNSTEIN D.D.S. 1558435446
DR. JARED LEE ERICKSON DMD 1730240037
DR. CHARLES HENRY DETJEN DMD 1962567776
DR. BRENT JONATHAN TINGEY DMD 1497810204
ERIC G PAULSON DDS 1841405263
DAVID GRANT LOGAN DDS 1780891762
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.