Individual provider · Type 1 NPI

Jordan Michael Ellis, DMD

Dentist · Danville, IL

NPI number 1902398068 Active

Practice location

1900 East Main St
Danville, IL 61832-6183

Mailing address

1118 Douglas St
Alton, IL 62002-2219

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019031635 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1902398068

Jordan Michael Ellis, DMD's National Provider Identifier is 1902398068, issued on Jun 5, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Danville, IL. The record was last updated on Jul 13, 2020.