Individual provider · Type 1 NPI

Gary Lynn Ellis, DDS

Oral and Maxillofacial Pathology Dentistry · Salt Lake City, UT

NPI number 1700840717 Active

Practice location

500 Chipeta Way
Salt Lake City, UT 84108-1221

Fax (801) 584-5255

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Pathology Dentistry Primary	1223P0106X	5129775-9921 (UT)

Oral and Maxillofacial Pathology Dentistry: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other e…

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About NPI 1700840717

Gary Lynn Ellis, DDS's National Provider Identifier is 1700840717, issued on Apr 14, 2006. The primary taxonomy on file is Oral and Maxillofacial Pathology Dentistry (1223P0106X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 13, 2026.