Individual provider · Type 1 NPI
Michael Lynn Ellis, DDS
Oral and Maxillofacial Surgery (Dentist) · Wailuku, HI
NPI number
1487705695
Active
Practice location
24 N Church St, Suite 206
Wailuku, HI 96793-1680
Fax (808) 243-8004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DT2031 (HI) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 14623 (TX) |
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.
4 other providers at this address
- Hawaii Endocrine Associates LLCEndocrinology, Diabetes & Metabolism Physician Wailuku, HI NPI 1649463639
- Michael E Clarke Ddsms IncOral and Maxillofacial Pathology Dentistry Wailuku, HI NPI 1073644068
- Sonya Hansen, MDInternal Medicine Physician Wailuku, HI NPI 1801110119
- Till Peter Hansen, MDEndocrinology, Diabetes & Metabolism Physician Wailuku, HI NPI 1720173214
Other oral and maxillofacial surgery (dentist) providers in Wailuku
About NPI 1487705695
Michael Lynn Ellis, DDS's National Provider Identifier is 1487705695, issued on Jan 15, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Wailuku, HI. The record was last updated on May 12, 2015.