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Dr. Jeffrey Mark Ellis, DDS,MS,CNS
General Practice Dentistry in Medford, New York
NPI 1417087719

Jeffrey Mark Ellis is a General Practice Dentistry based in Medford, NY and is specialized in General Practice. Jeffrey Mark Ellis practices in Medford, NY and has the professional credentials of DDS,MS,CNS. The NPI Number for Jeffrey Mark Ellis is 1417087719 and holds a License No. 039551 (New York).

The current practice location address for Jeffrey Mark Ellis is 3237 Route 112, Medford, NY and can be reached out via phone at 631-698-6934 and via fax at 631-698-5361.

Location: 3237 Route 112, Medford, NY, 11763-1424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417087719
Provider Name
Jeffrey Mark Ellis
Credential
DDS,MS,CNS
Provider Entity Type
Individual
Gender
Male
Address
3237 Route 112, Medford, NY, 11763-1424
Phone Number
631-698-6934
Fax Number
631-698-5361
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3237 Route 112
City
Medford
State
New York
Zip
11763-1424
Phone Number
631-698-6934
Fax Number
631-698-5361
person
Provider Business Mailing Address Details
Address
3237 Route 112
City
Medford
State
New York
Zip
11763-1424
Phone Number
631-698-6934
Fax Number
631-698-5361
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
039551 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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