Individual provider · Type 1 NPI

Ellie Jarvis, DDS

Student in an Organized Health Care Education/Training Program · Buffalo, NY

NPI number 1669312914 Active

Practice location

462 Grider St
Buffalo, NY 14215-3098

Call (716) 898-3000 Map

Mailing address

2400 N Forest Rd Apt 106
Getzville, NY 14068-1075

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669312914

Ellie Jarvis, DDS's National Provider Identifier is 1669312914, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buffalo, NY. The record was last updated on Mar 30, 2026.