Individual provider · Type 1 NPI

Teddy Lynn Ellis, DDS

General Practice Dentistry · Fort Warren Afb, WY

NPI number 1295728756 Active

Practice location

6900 Alden Dr
Fort Warren Afb, WY 82005-3906

Mailing address

6900 Alden Drive
Fort Warren Afb, WY 82005

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X06010 (IA)

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 1295728756

Teddy Lynn Ellis, DDS's National Provider Identifier is 1295728756, issued on Aug 30, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Warren Afb, WY. The record was last updated on Jul 8, 2007.