DR. FRED RAY ELLIS JR.


Address: 233 S. Pleasant Ave., #303, Somerset, PA 15501-2188
Phone: 8144454636

DR. FRED RAY ELLIS JR. (NPI# 1780604801) 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) 1780604801
Entity Type Individual
Full Name DR. FRED RAY ELLIS JR.
Credential D.M.D.
Practice Address 233 S. Pleasant Ave.
#303
Somerset
PA 15501-2188
Practice Telephone 8144454636
Practice Fax Number 8144451018
Mailing Telephone 8144454636
Mailing Fax Number 8144451018
Enumeration Date 2006-07-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DSO22283L PA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA DENTAL LICENSE DSO22283L 01
PA DPA 0801431 01
PA DEA # AE1107730 01

Other Providers FRED ELLIS

NPI Name Taxonomy Address Enumeration
1891835310 Fred E Ellis Denturist 1822 Black Lake Blvd Sw, Suite 101, Olympia, WA 98512 2007-02-07

Office Location

Street Address 233 S. PLEASANT AVE.
#303
City SOMERSET
State PA
Zip Code 15501-2188

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083108559 Jeffrey G. Carberry, Dmd, PC Dentist 203 E. Patriot St., Suite 200, Somerset, PA 15501 2018-06-19
1437666062 Area Agency On Aging of Somerset County Home Delivered Meals 1338 South Edgewood Avenue, Somerset, PA 15501 2018-01-04
1982131157 Zachary James Ankney Family Medicine 329 S. Pleasant Ave., Somerset, PA 15501 2017-05-17
1013382142 Susan Kimmel Counselor Georgian Place, Suite 309, Somerset, PA 15501 2015-12-01
1659759850 Mohammed Abuzar Khan Internal Medicine 225 S Center Avenue Somerset Hospital, Somerset, PA 15501 2015-05-08
1649586991 Kathryn Relampagos Trinidad Family Medicine 329 S. Pleasant Avenue, Somerset, PA 15501 2010-08-25
1063643856 Jacob Wayne Shipley Anesthesiology 126 E Church St Ste 2400, Somerset, PA 15501 2009-07-28
1811141823 Orthopedic & Sports Physical Therapy Associates, Inc. Durable Medical Equipment & Medical Supplies 223 S. Pleasant Ave, Suite 301, Somerset, PA 15501 2008-11-05
1720256480 Antoinette L Botti Od Optometrist 134 West Main St, Somerset, PA 15501 2008-02-15
1558561654 Bedford-somerset Developmental and Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 668 Rear East Main Street, Somerset, PA 15501 2007-07-18
Find all providers in zip 15501

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558982223 Kenneth Taylor Ruby Dentist 152 Parkers Mill Rd Unit A, Somerset, KY 42501-3150 2020-05-04
1972133148 Ellen Grace White Dentist 133 E Ridge Ln, Somerset, KY 42501-1291 2020-01-16
1144788407 Ekow Acquaah Dentist 812 Hamilton St Ste 1, Somerset, NJ 08873-3157 2019-03-06
1083108559 Jeffrey G. Carberry, Dmd, PC Dentist 203 E. Patriot St., Suite 200, Somerset, PA 15501 2018-06-19
1427407212 Bryson Dane Fry Dentist 296 Medpark Dr, Somerset, KY 42503-2894 2016-06-13
1649603341 Dejon Graves Dentist 515 Ogden St, Suite B, Somerset, KY 42501-1735 2013-08-16
1235574393 William Joseph Feltner Dentist 2911 S Highway 27, Somerset, KY 42501-3036 2013-05-02
1871869750 Mid Jersey Dental Dentist 1553 State Hwy 27, Suite 3400, Somerset, NJ 08873 2012-03-26
1033357884 Nina A Sado Dentist 6 Azalea Ln, Somerset, NJ 08873-2802 2009-02-02
1033370754 Emily E Merrick Dentist 250 Belmont Avenue, Suite 1, Somerset, KY 42501 2008-06-25
Find all providers in SOMERSET

Competitor

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City SOMERSET
Zip Code 15501

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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