Jeffrey Ellenberg is a Dentist in Clearwater, Florida. Jeffrey Ellenberg practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey Ellenberg is 1114026572. The last update date is 2007-07-08.
Jeffrey Ellenberg's current location address is 1430 Belcher Road South, Clearwater, Florida. You can contact this provider via phone number 7275317751 and fax number 7275323006. The mailing address for Jeffrey Ellenberg is 1430 Belcher Road South, Clearwater, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Ellenberg |
|---|---|
| Address | 1430 Belcher Road South, Clearwater, Florida |
| Phone Number | 7275317751 |
| Fax Number | 7275323006 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1114026572 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1430 Belcher Road South |
|---|---|
| City | Clearwater |
| State | Florida (FL) |
| Post Code | 33764 |
| Phone Number | 7275317751 |
| Fax Number | 7275323006 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN11742 |
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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 Jeffrey Ellenberg by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey Ellenberg has been assigned the NPI (National Provider Identifier) 1114026572. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jeffrey Ellenberg located?
The Jeffrey Ellenberg is located at 1430 Belcher Road South, Clearwater, FL 33764.
What is Jeffrey Ellenberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey Ellenberg is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date was the 1114026572 assigned to Jeffrey Ellenberg?
The Jeffrey Ellenberg was issued its 1114026572 on 2006-09-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jeffrey Ellenberg most recently updated?
The details pertaining to the Jeffrey Ellenberg, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.