Eric Edward Ellis, DMD - Dentist in Peoria, AZ

Eric Edward Ellis, DMD is a Dentist - Pediatric Dentistry based in Peoria, Arizona. Eric Edward Ellis is licensed to practice in Arizona (license number 7708) and his current practice location is 31307 N 137th Ave, Peoria, Arizona. He can be reached at his office (for appointments etc.) via phone at (586) 322-9041.

NPI number for Eric Edward Ellis is 1093971749 and his current mailing address is 31307 N 137th Ave, Peoria, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093971749.

Contact Information

Eric Edward Ellis, DMD
31307 N 137th Ave,
Peoria, AZ 85383-7941
(586) 322-9041
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEric Edward Ellis
GenderMale
SpecialityDentist - Pediatric Dentistry
Location31307 N 137th Ave, Peoria, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093971749
  • Provider Enumeration Date: 08/01/2008
  • Last Update Date: 11/09/2010

Medical Identifiers

Medical identifiers for Eric Edward Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093971749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2901019386 (Michigan)Secondary
1223P0221XDentist - Pediatric Dentistry 2901019386 (Michigan)Secondary
1223P0221XDentist - Pediatric Dentistry 7708 (Arizona)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. Eric Edward 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 AddressPractice Location Address
Eric Edward Ellis, DMD
31307 N 137th Ave,
Peoria, AZ 85383-7941

Ph: (586) 322-9041
Eric Edward Ellis, DMD
31307 N 137th Ave,
Peoria, AZ 85383-7941

Ph: (586) 322-9041

Reviews and Comments


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