SearchWashingtonOral and Maxillofacial Surgery (Dentist)

Trent Ellis, DMD

NPI 1356828347 · on the registry since 2018

Practice

Address
9040a Jackson Avenue
Joint Base Lewis Mcchord, WA 98431
Phone
(253) 968-0174
Clinicians at this address
93

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
Dentist
Licence states on file
WA, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-06

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 Washington