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Dr. Chase Daniel Ellis, DDS
Pediatric Dentist in Port Matilda, Pennsylvania
NPI 1952830689

Chase Daniel Ellis is a Pediatric Dentist based in Port Matilda, PA and is specialized in Pediatric Dentistry. Chase Daniel Ellis practices in Port Matilda, PA and has the professional credentials of DDS. The NPI Number for Chase Daniel Ellis is 1952830689 and holds a License No. DS-041898 (Pennsylvania).

The current practice location address for Chase Daniel Ellis is 1019 Ghaner Rd Ste 100, Port Matilda, PA and can be reached out via phone at 814-238-7120 and via fax at 814-238-2981.

Location: 1019 Ghaner Rd Ste 100, Port Matilda, PA, 16870-7236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952830689
Provider Name
Chase Daniel Ellis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1019 Ghaner Rd Ste 100, Port Matilda, PA, 16870-7236
Phone Number
814-238-7120
Fax Number
814-238-2981
Provider Enumeration Date
06/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1035609330001 05 PA
institution
Provider Business Practice Location Address Details
Address
1019 Ghaner Rd Ste 100
City
Port Matilda
State
Pennsylvania
Zip
16870-7236
Phone Number
814-238-7120
Fax Number
814-238-2981
person
Provider Business Mailing Address Details
Address
1019 Ghaner Rd Ste 100
City
Port Matilda
State
Pennsylvania
Zip
16870-7236
Phone Number
814-238-7120
Fax Number
814-238-2981
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS041898 (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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DS-041898 (Pennsylvania)
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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