JESS T ELLIS DDS, MS, INC


Address: 11741 Barr Rd, Anchorage, AK 99516-2164
Phone: 9072723636

JESS T ELLIS DDS, MS, INC (NPI# 1497195119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497195119
Entity Type Organization
Organization Name JESS T ELLIS DDS, MS, INC
Practice Address 11741 Barr Rd
Anchorage
AK 99516-2164
Practice Telephone 9072723636
Practice Fax Number 9072723635
Mailing Telephone 9072723636
Mailing Fax Number 9072723635
Enumeration Date 2013-06-26
Last Update Date 2013-06-26
Authorized Official Name DR. JESS T ELLIS (PRESIDENT)
Authorized Official Telephone 9072723636
Authorized Official Credential DDS, MS
Is Organization Subpart Y
Parent Organization Name JESS T ELLIS DDS, MS, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
682 AK Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK 3072011582976 05

Office Location

Street Address 11741 BARR RD
City ANCHORAGE
State AK
Zip Code 99516-2164

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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316339526 Matthew Mauger Dentist 4001 Lake Otis Pkwy Ste 202, Anchorage, AK 99508 2015-02-25
1740430586 Jess Taylor Ellis Dentist 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 2008-09-29
1477765394 Douglas J. Luiten, D.m.d., P.C. Dentist 4001 Laurel Street, Suite 208, Anchorage, AK 99508 2007-05-04
1780805838 Heather R Sulte Dentist 2000 Abbott Road, Suite 100, Anchorage, AK 99507 2007-05-02
1699764670 Orest Mychajlo Harkacz Sr. Dentist 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 2005-10-20
1265437321 Richard A. Siry Dentist 2702 Denali St, Ste 200, Anchorage, AK 99503-2747 2005-06-16
1649713074 Darin Anderson, LLC Dentist 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 2016-12-03
1952521346 Douglas J Luiten Dentist 4001 Laurel St, Suite 208, Anchorage, AK 99508-5332 2007-04-26
1326103383 Michael J. Mauger Dentist 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 2006-12-27
1477618445 Michael L Mark Dentist 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 2006-12-27
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Competitor

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City ANCHORAGE
Zip Code 99516

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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