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Dr. Fred Ray Ellis JR., DMD
General Practice Dentistry in Somerset, Pennsylvania
NPI 1780604801

Fred Ray Ellis JR. is a General Practice Dentistry based in Somerset, PA and is specialized in General Practice. Fred Ray Ellis JR. practices in Somerset, PA and has the professional credentials of DMD. The NPI Number for Fred Ray Ellis JR. is 1780604801 and holds a License No. DSO22283L (Pennsylvania).

The current practice location address for Fred Ray Ellis JR. is 233 S. Pleasant Ave., Somerset, PA and can be reached out via phone at 814-445-4636 and via fax at 814-445-1018.

Location: 233 S. Pleasant Ave., Somerset, PA, 15501-2188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780604801
Provider Name
Fred Ray Ellis JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
233 S. Pleasant Ave., Somerset, PA, 15501-2188
Phone Number
814-445-4636
Fax Number
814-445-1018
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0801431 01 PA DPA
DSO22283L 01 PA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
233 S. Pleasant Ave.
City
Somerset
State
Pennsylvania
Zip
15501-2188
Phone Number
814-445-4636
Fax Number
814-445-1018
person
Provider Business Mailing Address Details
Address
233 S. Pleasant Ave.
City
Somerset
State
Pennsylvania
Zip
15501-2188
Phone Number
814-445-4636
Fax Number
814-445-1018
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DSO22283L (Pennsylvania)
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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