Individual provider · Type 1 NPI

Eric Edward Ellis, DMD

Pediatric Dentistry · Peoria, AZ

NPI number 1093971749 Active

Practice location

31307 N 137th Ave
Peoria, AZ 85383-7941

Call (586) 322-9041 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2901019386 (MI)
Pediatric Dentistry 1223P0221X2901019386 (MI)
Pediatric Dentistry Primary 1223P0221X7708 (AZ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1093971749

Eric Edward Ellis, DMD's National Provider Identifier is 1093971749, issued on Aug 1, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Peoria, AZ. The record was last updated on Nov 9, 2010.