Eric Edward Ellis is a Dentist in Peoria, Arizona. Eric Edward Ellis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eric Edward Ellis is 1093971749. The last update date is 2010-11-09.
Eric Edward Ellis's current location address is 31307 N 137th Ave, Peoria, Arizona. You can contact this provider via phone number 5863229041. The mailing address for Eric Edward Ellis is 31307 N 137th Ave, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Edward Ellis |
|---|---|
| Address | 31307 N 137th Ave, Peoria, Arizona |
| Phone Number | 5863229041 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1093971749 |
|---|---|
| Provider Enumeration Date | 2008-08-01 |
| Last Updated Date | 2010-11-09 |
Provider Mailing Address Detail
| Address | 31307 N 137th Ave |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853837941 |
| Phone Number | 5863229041 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901019386 |
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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 identifier code issued to Eric Edward Ellis by the Centers for Medicare & Medicaid Services (CMS)?
The Eric Edward Ellis has been assigned the NPI (National Provider Identifier) 1093971749. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Eric Edward Ellis's physical address?
The Eric Edward Ellis is physically located at 31307 N 137Th Ave, in the city of Peoria, AZ, with the postal code 853837941.
What is the area of specialization for Eric Edward Ellis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eric Edward Ellis is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did Eric Edward Ellis receive its 1093971749 assignment from the Centers for Medicare & Medicaid Services?
The Eric Edward Ellis was assigned its 1093971749 on 2008-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Eric Edward Ellis most recently updated or revised?
The details related to Eric Edward Ellis, including its address, specialty, and other relevant information, were last updated or revised on 2010-11-09.
NPI Number: 1942207287
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