Teddy Lynn Ellis, D.D.S.

General Practice Dentistry · Ft Warren Afb, WY

Individual Active NPI

NPI number 1295728756

Practice location

6900 Alden Dr
Ft Warren Afb, WY 82005-3906
Phone
(402) 651-1386

Open in Google Maps

NPI record

NPI
1295728756
Entity type
Individual (Type 1)
Enumeration date
August 30, 2005
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 06010 IA

Mailing address

6900 Alden Drive
Ft Warren Afb, WY 82005
Phone
(402) 651-1386

About Dr. Ellis

Teddy Lynn Ellis, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6900 Alden Dr, Ft Warren Afb, WY 82005-3906. The NPI number 1295728756 was assigned on August 30, 2005 and the record was last updated on July 8, 2007.

Dr. Ellis lists a license in the registry: #06010 (IA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Teddy Lynn Ellis, D.D.S.?

The NPI number is 1295728756.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (402) 651-1386.

Where is Dr. Ellis located?

6900 Alden Dr, Ft Warren Afb, WY 82005-3906.

What is the taxonomy code for Dr. Ellis?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

Other General Practice Dentistry providers in Ft Warren Afb

All General Practice Dentistry providers in Ft Warren Afb, WY →