Individual provider · Type 1 NPI
Jeffrey Scott Ellis, DMD
Pediatric Dentistry · Heber City, UT
NPI number
1679691877
Active
Practice location
160 S 100 W
Heber City, UT 84032-2015
Mailing address
608 E 600 S
Heber City, UT 84032-3868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 6217681-9922 (UT) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Heber City
About NPI 1679691877
Jeffrey Scott Ellis, DMD's National Provider Identifier is 1679691877, issued on Mar 26, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Heber City, UT. The record was last updated on Jul 8, 2007.