Jessica Mae Ellsperman, DDS
General Practice Dentistry · Sullivan, IN
Practice location
2186 N Hospital Blvd # 1Sullivan, IN 47882-7654
- Phone
- (812) 268-4010
NPI record
- NPI
- 1912436635
- Entity type
- Individual (Type 1)
- Enumeration date
- June 6, 2017
- Last updated
- June 6, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
12012696B | IN |
Mailing address
10812 N Old 41Oaktown, IN 47561-8015
- Phone
- (812) 499-3465
About Dr. Ellsperman
Jessica Mae Ellsperman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2186 N Hospital Blvd # 1, Sullivan, IN 47882-7654. The NPI number 1912436635 was assigned on June 6, 2017 and the record was last updated on June 6, 2017.
Dr. Ellsperman lists a license in the registry: #12012696B (IN) 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 Jessica Mae Ellsperman, DDS?
The NPI number is 1912436635.
What is the phone number of Dr. Ellsperman?
The phone number listed for the practice location is (812) 268-4010.
Where is Dr. Ellsperman located?
2186 N Hospital Blvd # 1, Sullivan, IN 47882-7654.
What is the taxonomy code for Dr. Ellsperman?
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 Sullivan
- Gregg W. Smith, D.D.S.2186 N Hospital Blvd Ste 1
- Sullivan Family Dentistry, LLC2186 N Hospital Blvd., Suite 1