Wayne R. Ellis in Boise - Endodontics

Wayne R. Ellis - NPI 1427166024

Wayne R. Ellis is a Endodontics in Boise, Idaho. Wayne R. Ellis practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Wayne R. Ellis is 1427166024. The last update date is 2007-07-08.

Wayne R. Ellis's current location address is 6363 W Emerald St, Boise, Idaho. You can contact this provider via phone number 2083766307 and fax number 2083769011. The mailing address for Wayne R. Ellis is 6363 W Emerald St, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne R. Ellis
Address 6363 W Emerald St, Boise, Idaho
Phone Number 2083766307
Fax Number 2083769011
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1427166024
Provider Enumeration Date 2006-08-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6363 W Emerald St
City Boise
State Idaho (ID)
Post Code 837048783
Phone Number 2083766307
Fax Number 2083769011

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No D-1522
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

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FAQs about Wayne R. Ellis

What is the Wayne R. Ellis's 1427166024?

The Wayne R. Ellis's NPI (National Provider Identifier) Number is 1427166024. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Wayne R. Ellis's physical address?

The Wayne R. Ellis is physically located at 6363 W Emerald St, in the city of Boise, ID, with the postal code 837048783.

What is the area of specialization for Wayne R. Ellis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Wayne R. Ellis is Endodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223E0200X.

On what date did the Wayne R. Ellis receive the assignment of its 1427166024 from the Centers for Medicare & Medicaid Services?

The Wayne R. Ellis was issued its 1427166024 by the Centers for Medicare & Medicaid Services on 2006-08-25.

When was the information regarding Wayne R. Ellis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wayne R. 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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