Individual provider · Type 1 NPI

Kayla Ellis, DDS

General Practice Dentistry · Portland, OR

NPI number 1003703406 Active

Practice location

1710 NE 122nd Ave
Portland, OR 97230-1939

Call (503) 295-2120 Map

Mailing address

514 SE Belmont St Apt 501
Portland, OR 97214-4686

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	D12194 (OR)

General Practice Dentistry: 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.

2 other providers at this address

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About NPI 1003703406

Kayla Ellis, DDS's National Provider Identifier is 1003703406, issued on Jun 19, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jun 19, 2025.