Search › New York › 1223G0001X
Jeffrey Ellis, D.D.S., M.S.,C.N.S
NPI 1417087719 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3237 Route 112
Bldg 6
Medford, NY 11763 - Phone
- (631) 698-6934
- Fax
- (631) 698-5361
- Organisation at this address
- Pediatric Dentistry Of Suffolk County Ii
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 New York