Jon Charles Ellison, D.D.S.
General Practice Dentistry · Simi Valley, CA
Practice location
1939 Erringer RdSimi Valley, CA 93065-3524
- Phone
- (805) 527-6100
- Fax
- (805) 527-0038
NPI record
- NPI
- 1497841134
- Entity type
- Individual (Type 1)
- Enumeration date
- October 4, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
25136 | CA |
About Dr. Ellison
Jon Charles Ellison, 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 1939 Erringer Rd, Simi Valley, CA 93065-3524. The NPI number 1497841134 was assigned on October 4, 2006 and the record was last updated on July 8, 2007.
Dr. Ellison lists a license in the registry: #25136 (CA) 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 Jon Charles Ellison, D.D.S.?
The NPI number is 1497841134.
What is the phone number of Dr. Ellison?
The phone number listed for the practice location is (805) 527-6100.
Where is Dr. Ellison located?
1939 Erringer Rd, Simi Valley, CA 93065-3524.
What is the taxonomy code for Dr. Ellison?
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.
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