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Dr. Jeremy W Ellis, DDS
General Practice Dentistry in Logan, Utah
NPI 1568558468

Jeremy W Ellis is a General Practice Dentistry based in Logan, UT and is specialized in General Practice. Jeremy W Ellis practices in Logan, UT and has the professional credentials of DDS. The NPI Number for Jeremy W Ellis is 1568558468 and holds a License No. 99-373-9289922 (Utah).

The current practice location address for Jeremy W Ellis is 965 S 100 W, Logan, UT and can be reached out via phone at 435-752-9741 and via fax at 435-753-5169.

Location: 965 S 100 W, Logan, UT, 84321-6062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568558468
Provider Name
Jeremy W Ellis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
965 S 100 W, Logan, UT, 84321-6062
Phone Number
435-752-9741
Fax Number
435-753-5169
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
965 S 100 W
City
Logan
State
Utah
Zip
84321-6062
Phone Number
435-752-9741
Fax Number
435-753-5169
person
Provider Business Mailing Address Details
Address
965 S 100 W
City
Logan
State
Utah
Zip
84321-6062
Phone Number
435-752-9741
Fax Number
435-753-5169
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
99-373-9289922 (Utah)
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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