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

DR. GARY LYNN ELLIS, DDS

Active

DR. GARY LYNN ELLIS, DDS is a Orthodontics & Dentofacial Orthopedics healthcare provider located in SALT LAKE CITY, Utah. NPI 1700840717 is currently active in the NPPES registry. Verify at CMS.

Orthodontics & Dentofacial Orthopedics · SALT LAKE CITY, UT

Registration Details

NPI Number
1700840717
Provider Type
Individual
Gender
Male
NPI Issued
Apr 14, 2006 (20.293191954089 yrs)
Last Updated
Jul 8, 2007
License
5129775-9921 (UT)

Practice Information

Address
500 CHIPETA WAY
SALT LAKE CITY, UT, 841081221
Browse UT providers · Browse ZIP 84108
Phone
8015832787
Fax
8015845255
Primary Specialty
Orthodontics & Dentofacial Orthopedics
1223P0106X

Other Orthodontics & Dentofacial Orthopedics Providers in SALT LAKE CITY, UT

Name Credential NPI
CRAYTON ROSS WALKER D.D.S., M.D. 1053456368
BRYAN GLEN TRUMP DDS, MS 1083973002
DR. CARTER TIMOTHY BRUETT DDS 1578149001
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.