Individual provider · Type 1 NPI
Royal Ellinger, DDS
Periodontics · Milwaukee, WI
NPI number
1720016900
Active
Practice location
Milwaukee Va Medical Center / Dental Clinic, 5000 National Ave
Milwaukee, WI 53295-0001
Fax (414) 389-4162
Mailing address
7995 W Lake Pointe Dr
Franklin, WI 53132-8529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 5001965 (WI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1720016900
Royal Ellinger, DDS's National Provider Identifier is 1720016900, issued on Jun 28, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.