Ellis, Eric Edward

Ellis, Eric Edward is an sole proprietor health care provider with primary practice located at 31307 N 137Th Ave , Peoria AZ 85383-7941. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Ellis, Eric Edward can be contacted via phone (586) 322-9041.

Contact Information

Primary practice address
31307 N 137Th Ave Peoria AZ 85383-7941
Phone: (586) 322-9041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901019386 Michigan
Dental Providers / Pediatric Dentistry 1223P0221X 2901019386 Michigan
Dental Providers / Pediatric Dentistry 1223P0221X 7708 Arizona

Profile Details

NPI number 1093971749
LBN Legal business name Ellis, Eric Edward
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2008
Last updated Nov 9th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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