Individual provider · Type 1 NPI

Lynae D. Ellis, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Janesville, WI

NPI number 1720161789 Active

Practice location

1616 N Randall Ave
Janesville, WI 53545-1118

Call (608) 754-4998 Map

Fax (608) 754-5652

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X5282015 (WI)

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 1720161789

Lynae D. Ellis, DDS, M.S.'s National Provider Identifier is 1720161789, issued on Oct 23, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Janesville, WI. The record was last updated on Jul 8, 2007.