Individual provider · Type 1 NPI
Chase Daniel Ellis, DDS
Pediatric Dentistry · Port Matilda, PA
NPI number
1952830689
Active
Practice location
1019 Ghaner Rd Ste 100
Port Matilda, PA 16870-7236
Fax (814) 238-2981
Other practice locations
- 3600 Forbes Ave Ste 140, Pittsburgh, PA 15213-3410 · (412) 647-6340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | DS-041898 (PA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | DS041898 (PA) |
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.
Another provider at this address
Other pediatric dentistry providers in Port Matilda
- G. Matthew Kremser, DMDPediatric Dentistry Port Matilda, PA NPI 1548483241
- Robert L. Kilareski, DDSPediatric Dentistry Port Matilda, PA NPI 1578786273
- Jonathan Henry Kremser, D.D.SPediatric Dentistry Port Matilda, PA NPI 1821352626
- John R. Kelly, DDSPediatric Dentistry Port Matilda, PA NPI 1861615569
About NPI 1952830689
Chase Daniel Ellis, DDS's National Provider Identifier is 1952830689, issued on Jun 6, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Port Matilda, PA. The record was last updated on Jul 21, 2022.