Larry Ellison, DDS

NPI 1235236217 · on the registry since 2006

Practice

Address: 615 N 90th St
Omaha, NE 68114
Phone: (402) 393-5050
Fax: (402) 393-3401
Organisation at this address: Great Plains Dental Specialists, Pc
Heartland Endodontic Specialists, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223E0200X
1223E0200X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska