person
Isaac Taylor Ellison, DDS
Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma
NPI 1518615863

Isaac Taylor Ellison is a Student in an Organized Health Care Education/Training Program based in Oklahoma City, OK. Isaac Taylor Ellison practices in Oklahoma City, OK and has the professional credentials of DDS. The NPI Number for Isaac Taylor Ellison is 1518615863 and holds a License No. 019.033827 (Oklahoma).

The current practice location address for Isaac Taylor Ellison is 1201 N Stonewall Ave Ste 230, Oklahoma City, OK and can be reached out via phone at 405-271-4441.

Location: 1201 N Stonewall Ave Ste 230, Oklahoma City, OK, 73117-1214
person
Provider Profile Details
NPI Number
1518615863
Provider Name
Isaac Taylor Ellison
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1201 N Stonewall Ave Ste 230, Oklahoma City, OK, 73117-1214
Phone Number
405-271-4441
Fax Number
Provider Enumeration Date
03/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 N Stonewall Ave Ste 230
City
State
Zip
73117-1214
Phone Number
405-271-4441
Fax Number
person
Provider Business Mailing Address Details
Address
1201 N Stonewall Ave Ste 230
City
State
Zip
73117-1214
Phone Number
405-271-4441
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
019.033827 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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