Ellis, Trent Parker

Ellis, Trent Parker is an individual health care provider with primary practice located at 9040A Jackson Avenue , Joint Base Lewis Mcchord WA 98431-7719. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ellis, Trent Parker can be contacted via phone (253) 968-0174.

Contact Information

Primary practice address
9040A Jackson Avenue Joint Base Lewis Mcchord WA 98431-7719
Phone: (253) 968-0174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 61404526 Washington
Dental Providers / Dentist 122300000X 10101 Kentucky

Profile Details

NPI number 1356828347
LBN Legal business name Ellis, Trent Parker
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2018
Last updated Sep 6th, 2023 - about last year

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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