Individual provider · Type 1 NPI

Grant Alexander Karlsson Ellifson

Dentist · Milwaukee, WI

NPI number 1659076719 Active

Practice location

1801 W Wisconsin Ave
Milwaukee, WI 53233-2186

Call (608) 422-0516 Map

Mailing address

2261 N 61st St
Milwaukee, WI 53213-1501

Other practice locations

  • 3434 E Washington Ave, Madison, WI 53704-4155 · (608) 443-5482

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X6001202 (WI)

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 1659076719

Grant Alexander Karlsson Ellifson's National Provider Identifier is 1659076719, issued on Mar 30, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 21, 2024.