| Trent Parker Ellis, DMD | |
|
9040a Jackson Avenue, Joint Base Lewis Mcchord, WA 98431-7719 | |
| (253) 968-0174 | |
| Not Available |
| Full Name | Trent Parker Ellis |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9040a Jackson Avenue, Joint Base Lewis Mcchord, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356828347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 61404526 (Washington) | Primary |
| 122300000X | Dentist | 10101 (Kentucky) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Parker Ellis, DMD 9434 Copperway, Converse, TX 78109-2063 Ph: (801) 859-7315 | Trent Parker Ellis, DMD 9040a Jackson Avenue, Joint Base Lewis Mcchord, WA 98431-7719 Ph: (253) 968-0174 |
Anna-jane Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 504 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438 Phone: 253-201-4535 | |
Dr. Andrew Lawrence Kary, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3740 South 14th St, Joint Base Lewis Mcchord, WA 98433 Phone: 253-967-5271 | |
Emily Phelan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3740 South 14th Street, Joint Base Lewis Mcchord, WA 98431 Phone: 253-967-5271 | |
Dr. Steven Minh Phung, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Lefler Dental Clinic, Joint Base Lewis Mcchord, WA 98433 Phone: 253-967-4505 |