David John Ellingson is a Dentist in Mesa, Arizona. David John Ellingson practices all healthcare services and medical treatments related to Dentist. The NPI Number for David John Ellingson is 1689856148. The last update date is 2011-05-13.
David John Ellingson's current location address is 3549 E. Brown Rd., Mesa, Arizona. You can contact this provider via phone number 4808302956 and fax number 4908303019. The mailing address for David John Ellingson is 3549 E. Brown Rd., Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David John Ellingson |
|---|---|
| Address | 3549 E. Brown Rd., Mesa, Arizona |
| Phone Number | 4808302956 |
| Fax Number | 4908303019 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1689856148 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2011-05-13 |
Provider Mailing Address Detail
| Address | 3549 E. Brown Rd. |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 85213 |
| Phone Number | 4808302956 |
| Fax Number | 4908303019 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 97397 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to David John Ellingson?
The David John Ellingson has been issued the NPI (National Provider Identifier) 1689856148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where David John Ellingson's facilities are situated?
The facilities of David John Ellingson are physically located at the following address: 3549 E. Brown Rd., Mesa, AZ, 85213.
What is David John Ellingson's specialized field of practice, and what is the corresponding taxonomy classification code?
The David John Ellingson's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When was the David John Ellingson's 1689856148 issued?
The David John Ellingson's 1689856148 was issued on 2007-11-27.
As of what date were the David John Ellingson's details last updated?
The information pertaining to the David John Ellingson, including its address, specialty, and other details, was most recently updated on 2011-05-13.
NPI Number: 1215930573
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