Robert Lynn Ellis, DDS

Dentist · Rigby, ID

Individual Active NPI

NPI number 1083724843

Practice location

143 1/2 E Main
Rigby, ID 83442
Phone
(208) 745-0400
Fax
(208) 745-5005

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NPI record

NPI
1083724843
Entity type
Individual (Type 1)
Enumeration date
August 30, 2006
Last updated
June 22, 2023
Certified
June 21, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D3529 ID

Mailing address

243 E Fremont Ave
Rigby, ID 83442-1410
Phone
(208) 745-0400
Fax
(208) 745-5005

About Dr. Ellis

Robert Lynn Ellis, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 143 1/2 E Main, Rigby, ID 83442. The NPI number 1083724843 was assigned on August 30, 2006 and the record was last updated on June 22, 2023.

Dr. Ellis lists a license in the registry: #D3529 (ID) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Lynn Ellis, DDS?

The NPI number is 1083724843.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (208) 745-0400.

Where is Dr. Ellis located?

143 1/2 E Main, Rigby, ID 83442.

What is the taxonomy code for Dr. Ellis?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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