Individual provider · Type 1 NPI

Trent Parker Ellis, DMD

Oral and Maxillofacial Surgery (Dentist) · Joint Base Lewis Mcchord, WA

NPI number 1356828347 Active

Practice location

9040A Jackson Avenue
Joint Base Lewis Mcchord, WA 98431-7719

Call (253) 968-0174 Map

Mailing address

9434 Copperway
Converse, TX 78109-2063

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X61404526 (WA)
Dentist 122300000X10101 (KY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

12 other providers at this address

About NPI 1356828347

Trent Parker Ellis, DMD's National Provider Identifier is 1356828347, issued on Jul 23, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Joint Base Lewis Mcchord, WA. The record was last updated on Sep 6, 2023.