Don R. Ellertson, DDS

General Practice Dentistry · Fullerton, CA

Individual Active NPI

NPI number 1669420303

Practice location

152 W Bastanchury Rd
Fullerton, CA 92835-2502
Phone
(714) 870-1171

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NPI record

NPI
1669420303
Entity type
Individual (Type 1)
Enumeration date
May 5, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 40812 CA

About Dr. Ellertson

Don R. Ellertson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 152 W Bastanchury Rd, Fullerton, CA 92835-2502. The NPI number 1669420303 was assigned on May 5, 2006 and the record was last updated on July 13, 2026.

Dr. Ellertson lists a license in the registry: #40812 (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 Don R. Ellertson, DDS?

The NPI number is 1669420303.

What is the phone number of Dr. Ellertson?

The phone number listed for the practice location is (714) 870-1171.

Where is Dr. Ellertson located?

152 W Bastanchury Rd, Fullerton, CA 92835-2502.

What is the taxonomy code for Dr. Ellertson?

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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