Individual provider · Type 1 NPI

Richard Leroy Ellis II, DMD

General Practice Dentistry · Salt Lake City, UT

NPI number 1073611547 Active

Practice location

5 S 700 E, Suite B-30
Salt Lake City, UT 84102-1135

Call (801) 355-3263 Map

Fax (801) 534-0769

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1408449922 (UT)

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.

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About NPI 1073611547

Richard Leroy Ellis II, DMD's National Provider Identifier is 1073611547, issued on Sep 20, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.