TRENT P. ELLIS DMD – NPI #1356828347
Dentist
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
TRENT ELLIS is a dentist located in JOINT BASE LEWIS-MCCHORD, WA. NPPES has assigned the NPI number 1356828347 to TRENT ELLIS on July 23, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 1223S0112X from the Health Care Provider Taxonomy code set, which is classified as Dentist, specializing in Oral and Maxillofacial Surgery
The NPI profile was previously updated about 3 years ago on Sep 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRENT ELLIS below.
NPI Profile for
TRENT P. ELLIS
(about 8 years ago)
JOINT BASE LEWIS-MCCHORD, WA 98431-7719 Phone: (253) 968-0174 Fax:
CONVERSE, TX 78109-2063 Phone: (801) 859-7315 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 1223S0112X - Dentist / Oral and Maxillofacial Surgery (Primary) |
WA | 61404526 |
| 122300000X - Dentist |
KY | 10101 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
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