Robert Lynn Ellis is a Dentist in Rigby, Idaho. Robert Lynn Ellis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Lynn Ellis is 1083724843. The last update date is 2023-06-22.
Robert Lynn Ellis's current location address is 243 E Fremont Ave, Rigby, Idaho. You can contact this provider via phone number 2087450400 and fax number 2087455005. The mailing address for Robert Lynn Ellis is 243 E Fremont Ave, Rigby, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Lynn Ellis |
|---|---|
| Address | 243 E Fremont Ave, Rigby, Idaho |
| Phone Number | 2087450400 |
| Fax Number | 2087455005 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083724843 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2023-06-22 |
Provider Mailing Address Detail
| Address | 243 E Fremont Ave |
|---|---|
| City | Rigby |
| State | Idaho (ID) |
| Post Code | 834421410 |
| Phone Number | 2087450400 |
| Fax Number | 2087455005 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D3529 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806083700 | ID | -- |
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What is the unique identifier code issued to Robert Lynn Ellis by the Centers for Medicare & Medicaid Services?
The Robert Lynn Ellis has been assigned the NPI (National Provider Identifier) 1083724843. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Robert Lynn Ellis?
The Robert Lynn Ellis is situated at 243 E Fremont Ave, in the city of Rigby, state of ID, with the zip code 834421410.
What is Robert Lynn Ellis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Lynn Ellis is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did Robert Lynn Ellis receive its 1083724843 assignment from the Centers for Medicare & Medicaid Services?
The Robert Lynn Ellis was assigned its 1083724843 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Robert Lynn Ellis's details last updated?
The information pertaining to the Robert Lynn Ellis, including its address, specialty, and other details, was most recently updated on 2023-06-22.