| Jess T Ellis Dds, Ms, Inc | |
|
11741 Barr Rd Anchorage AK 99516-2164 | |
| (907) 272-3636 | |
| (907) 272-3635 |
| Full Name | Jess T Ellis Dds, Ms, Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 11741 Barr Rd, Anchorage, Alaska |
| Authorized Official Name and Position | Jess T Ellis (PRESIDENT) |
| Authorized Official Contact | 9072723636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jess T Ellis Dds, Ms, Inc 11741 Barr Rd Anchorage AK 99516-2164 Ph: (907) 272-3636 | Jess T Ellis Dds, Ms, Inc 11741 Barr Rd Anchorage AK 99516-2164 Ph: (907) 272-3636 |
| NPI Number | 1497195119 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 06/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497195119 | NPI | - | NPPES |
| 3072011582976 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 682 (Alaska) | Primary |
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