Dr Teddy Lynn Ellis, DDS is a
Dentist - General Practice based in Ft Warren Afb, Wyoming. Dr Teddy Lynn Ellis is licensed to practice in Iowa (license number 06010) and his current practice location is
6900 Alden Dr, Ft Warren Afb, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(402) 651-1386.
NPI number for Dr Teddy Lynn Ellis is 1295728756 and his current mailing address is 6900 Alden Drive, Ft Warren Afb, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295728756.
Healthcare Provider's Profile
| Full Name | Dr Teddy Lynn Ellis |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 6900 Alden Dr, Ft Warren Afb, Wyoming |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295728756
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Teddy Lynn Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295728756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 06010 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Teddy Lynn Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Teddy Lynn Ellis, DDS
6900 Alden Drive,
Ft Warren Afb, WY 82005
Ph: (402) 651-1386 | Dr Teddy Lynn Ellis, DDS
6900 Alden Dr,
Ft Warren Afb, WY 82005-3906
Ph: (402) 651-1386 |
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