Jeffrey Mark Ellis in Medford - General Practice
Jeffrey Mark Ellis - NPI 1417087719
Jeffrey Mark Ellis is a General Practice in Medford, New York. Jeffrey Mark Ellis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Mark Ellis is 1417087719. The last update date is 2007-07-08.
Jeffrey Mark Ellis's current location address is 3237 Route 112, Medford, New York. You can contact this provider via phone number 6316986934 and fax number 6316985361. The mailing address for Jeffrey Mark Ellis is 3237 Route 112, Medford, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Mark Ellis |
|---|---|
| Address | 3237 Route 112, Medford, New York |
| Phone Number | 6316986934 |
| Fax Number | 6316985361 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1417087719 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3237 Route 112 |
|---|---|
| City | Medford |
| State | New York (NY) |
| Post Code | 117631424 |
| Phone Number | 6316986934 |
| Fax Number | 6316985361 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 39551 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Jeffrey Mark Ellis by the Centers for Medicare & Medicaid Services?
The Jeffrey Mark Ellis has been issued the NPI (National Provider Identifier) 1417087719, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeffrey Mark Ellis is geographically located?
The Jeffrey Mark Ellis is physically situated at the following location: 3237 Route 112, Medford, NY, 117631424.
What is Jeffrey Mark Ellis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeffrey Mark Ellis is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417087719 to Jeffrey Mark Ellis?
The Centers for Medicare & Medicaid Services assigned the 1417087719 to Jeffrey Mark Ellis on 2007-03-06.
When was the information regarding Jeffrey Mark Ellis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeffrey Mark Ellis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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