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Eric Edward Ellis

Dentist Pediatric Dentist

31307 N 137th Ave
Peoria , Arizona 85383-7941

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Eric Edward Ellis

Dentist Pediatric Dentist

31307 N 137th Ave
Peoria , Arizona 85383-7941

(586) 322-9041

Write a Review Save Call

Eric Edward Ellis

Dentist Pediatric Dentist

31307 N 137th Ave
Peoria , Arizona 85383-7941

(586) 322-9041 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dentist
  • Pediatric Dentist

Languages spoken

  • English

Location

31307 N 137th Ave Peoria , Arizona 85383-7941

First Address

  • Eric Edward Ellis
  • 31307 N 137th Ave
  • Peoria, AZ
  • Zip : 85383-7941
  • Phone : (586) 322-9041

Second Address

  • Eric Edward Ellis
  • 31307 N 137th Ave
  • Peoria, AZ
  • Zip : 85383-7941
  • Phone : (586) 322-9041

Reviews

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FAQs


Where did Eric Edward Ellis attend graduate school?

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Where did Eric Edward Ellis do his residency?

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Where did Eric Edward Ellis do his fellowship?

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Is Eric Edward Ellis board certified?

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What type of doctor is Eric Edward Ellis

Pediatric Dentist

In what state does Eric Edward Ellis practice in?

Arizona

Where is Eric Edward Ellis ’s practice located?

31307 N 137th Ave , Peoria, Arizona, 85383-7941

What is Eric Edward Ellis ’s gender?

Male

Is Eric Edward Ellis a sole practitioner?

No

Is Eric Edward Ellis accepting new patients?

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What languages does Eric Edward Ellis speak?

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Does Eric Edward Ellis accept insurance?

Yes, Eric Edward Ellis accepts insurance

Does Eric Edward Ellis offers telemedicine?

Eric Edward Ellis has not indicated if he offers telemedicine

What is Eric Edward Ellis ’s professional license number?

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What is Eric Edward Ellis ’s NPI number?

1093971749

Does Eric Edward Ellis have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 122300000X Dentist 2901019386 MI
N 1223P0221X Pediatric Dentist 2901019386 MI
Y 1223P0221X Pediatric Dentist 7708 AZ

National Provider Identifier

NPI 1093971749
Provider Name Eric Edward Ellis
First Address Peoria, AZ 85383-7941
Second Address Peoria, AZ 85383-7941
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 01/08/2008
Last Update Date 09/11/2010

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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