Individual provider · Type 1 NPI

Matthew Ryan Ellis, DDS

Dentist · St. Louis Park, MN

NPI number 1639694672 Active

Practice location

8454 Highway 7
St. Louis Park, MN 55426-3900

Call (952) 933-3667 Map

Mailing address

5389 Empire Ln N
Plymouth, MN 55446-3916

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X101852 (CA)
Dentist Primary 122300000XD14822 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1639694672

Matthew Ryan Ellis, DDS's National Provider Identifier is 1639694672, issued on Aug 10, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Louis Park, MN. The record was last updated on Feb 22, 2024.