Jeremy Ellis, D.D.S

NPI 1568558468 · on the registry since 2006 · sole proprietor

Practice

Address: 965 S 100 W
#102
Logan, UT 84321
Phone: (435) 752-9741
Fax: (435) 753-5169
Organisation at this address: Peak Mental Health. Llc
Summit Mental Health Llc
Joseph Anderson, D.C., Pllc
Steven D. Fisher D.C., P.C.
Hospice Alliance Of Utah, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: UT
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 Utah