Individual provider · Type 1 NPI

Emerson Russell Ehlis, DMD, MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Fargo, ND

NPI number 1295063980 Active

Practice location

4710 Amber Valley Pkwy S, Suite B
Fargo, ND 58104-8694

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X390200000X (MN)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2171 (ND)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1295063980

Emerson Russell Ehlis, DMD, MSD's National Provider Identifier is 1295063980, issued on Nov 18, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fargo, ND. The record was last updated on Oct 3, 2014.