Amanda Ellis, DDS

Dentist · Canfield, OH

Individual Active NPI

NPI number 1649836024

Practice location

6715 Tippecanoe Rd Ste E102
Canfield, OH 44406-9183
Phone
(330) 702-9000

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NPI record

NPI
1649836024
Entity type
Individual (Type 1)
Enumeration date
May 12, 2019
Last updated
August 17, 2023
Certified
August 17, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 30.025732 OH

Other practice locations (1)

  • 1001 Covington St, Youngstown, OH 44510-1617 · (330) 480-3195

About Dr. Ellis

Amanda Ellis, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6715 Tippecanoe Rd Ste E102, Canfield, OH 44406-9183. The NPI number 1649836024 was assigned on May 12, 2019 and the record was last updated on August 17, 2023.

Dr. Ellis lists a license in the registry: #30.025732 (OH) 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 Amanda Ellis, DDS?

The NPI number is 1649836024.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (330) 702-9000.

Where is Dr. Ellis located?

6715 Tippecanoe Rd Ste E102, Canfield, OH 44406-9183.

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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