Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADYN REIS ELLIS, DDS
ActiveDentist · COLFAX, WA
Registration Details
- NPI Number
- 1982331518
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2022 (3.7508491718991 yrs)
- Last Updated
- Aug 3, 2022
- License
-
61316972 (WA)
Practice Information
- Address
-
1055 W FAIRVIEW STCOLFAX, WA, 991115106Browse WA providers · Browse ZIP 99111
- Phone
- 5093974077
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in COLFAX, WA
| Name | Credential | NPI |
|---|---|---|
| DR. TOM H MCKINNEY | DDS | 1447476627 |
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.