DR. JEFFREY SCOTT ELLIS (NPI# 1679691877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679691877 |
Entity Type | Individual |
Full Name | DR. JEFFREY SCOTT ELLIS |
Credential | DMD |
Practice Address |
160 S 100 W Heber City UT 84032-2015 |
Mailing Address |
608 E 600 S Heber City UT 84032-3868 |
Practice Telephone | 4356545322 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6217681-9922 | UT | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518133198 | Jeffrey S Ellis | Marriage & Family Therapist | 2287 E Dudley St, Pasadena, CA 91104-4126 | 2008-05-05 |
1417087719 | Jeffrey Mark Ellis | Dentist | 3237 Route 112, Bldg 6, Medford, NY 11763-1424 | 2007-03-06 |
1538698543 | Jeffrey Lee Ellis | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2017-06-05 |
1033454699 | Jeffrey Christian Ellis | Physician Assistant | Psc 836 Box 2670, Fpo, AE 09636-9998 | 2012-12-07 |
1790987816 | Jeffrey W Ellis | Student in an Organized Health Care Education/Training Program | Children's Hospital Guidance Center, 187 W. Schrock Rd, Westerville, OH 43081 | 2007-06-01 |
1093860090 | Jeffrey Warren Ellis | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2007-01-23 |
1326142035 | Jeffrey L Ellis | Pathology | 222 Medical Cir, Morehead, KY 40351-1179 | 2006-09-12 |
1285748293 | Jeffrey Ira Ellis | Dermatology | 358 S Oyster Bay Rd, Hicksville, NY 11801-3508 | 2006-08-18 |
1932171154 | Jeffrey B Ellis | Internal Medicine | 1425 Horsham Rd, Medical Suite, North Wales, PA 19454-1320 | 2006-02-02 |
Street Address |
160 S 100 W |
City | HEBER CITY |
State | UT |
Zip Code | 84032-2015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
1558807883 | Heber City Dental | Dentist | 345 E Gateway Drive, Suite 200, Heber City, UT 84032 | 2017-01-10 |
1326584921 | Deer Creek Childrens Dentistry | Dentist | 575 South 200 East, Heber City, UT 84032 | 2017-01-06 |
1194197871 | Ryan Hall | Physician Assistant | 150 N Main St #105, Heber City, UT 84032 | 2015-10-21 |
1841686631 | Jamar Romanceles Grayson | Family Medicine | 1485 Us-40 Ste G, Heber City, Ut 84032, Heber City, UT 84032 | 2015-04-08 |
1003218512 | Zebadia Pessetto | Physical Therapist | 380 E 1500 S Ste 102, Heber City, UT 84032 | 2014-09-16 |
1033471602 | Erik Mcclure | Anesthesiology | 899 E 200 S, Heber City, UT 84032 | 2012-06-11 |
1164716122 | Alicia M Power | Marriage & Family Therapist | 55 South 500 North, Heber City, UT 84032 | 2011-06-07 |
1073849873 | Ron T Dummar | Chiropractor | 325 West 600 S St. 403, Heber, UT 84032 | 2009-10-29 |
1407031255 | Wasatch County Health Department | Public Health or Welfare | 55 East 500 South, Heber City, UT 84032 | 2007-12-28 |
Find all providers in zip 84032 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | 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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326584921 | Deer Creek Childrens Dentistry | Dentist | 575 South 200 East, Heber City, UT 84032 | 2017-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891462 | South Davis Pediatric Dentistry LLC | Dentist | 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 | 2020-11-02 |
1376176198 | Happy Tooth Pediatric Dentistry, LLC | Dentist | 2453 E 3300 S, Millcreek, UT 84109-2725 | 2020-02-20 |
1750932273 | Michael R. Brown Dds Ms | Dentist | 1240 E 100 S Ste 120, St George, UT 84790-3079 | 2019-09-25 |
1609438357 | Children's Landing Pediatric Dentistry, PC | Dentist | 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 | 2019-07-02 |
1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
1639654684 | Clubhouse Pediatric Dentistry of West Jordan | Dentist | 1108 E South Union Ave, Midvale, UT 84047-2904 | 2018-09-26 |
1639667801 | St. George Kids Dental At Snow Canyon | Dentist | 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 | 2018-04-24 |
1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
1013420553 | Kevin Brown Dmd, LLC | Dentist | 1030 S 1100 W, Suite B, Lehi, UT 84043 | 2017-11-07 |
1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
Find all providers with the same taxonomy |
City | HEBER CITY |
Zip Code | 84032 |
Please comment or provide details below to improve the information on DR. JEFFREY SCOTT ELLIS.
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.