Individual provider · Type 1 NPI

Thomas Salvatore Ellerhorst, DDS, M.S.D.

Orthodontics and Dentofacial Orthopedics Dentistry · San Mateo, CA

NPI number 1659575751 Active

Practice location

256 N San Mateo Dr Ste 1
San Mateo, CA 94401-2670

Call (650) 343-3603 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X50244 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1659575751

Thomas Salvatore Ellerhorst, DDS, M.S.D.'s National Provider Identifier is 1659575751, issued on Jun 13, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Mateo, CA. The record was last updated on Jul 8, 2007.