Individual provider · Type 1 NPI
Ethan Matthew Ellis, DDS
General Practice Dentistry · Weslaco, TX
NPI number
1386328979
Active
Practice location
1210 E 8th St Ste 2
Weslaco, TX 78596-7120
Fax (956) 969-3855
Mailing address
1714 Strawberry Hl
Edinburg, TX 78541-7901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 39621 (TX) |
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 1386328979
Ethan Matthew Ellis, DDS's National Provider Identifier is 1386328979, issued on Jun 14, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Weslaco, TX. The record was last updated on Jun 10, 2025.