DR. Jeffrey Mark Ellis, D.D.S., M.S.,C.N.S is a general practice dentist in Medford, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Jeffrey Mark Ellis, D.D.S., M.S.,C.N.S NPI is 1417087719. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3237 ROUTE 112
BLDG 6
MEDFORD, NY
ZIP 11763-424
Phone: (631) 698-6934
Fax: (631) 698-5361
The NPI 1417087719 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/8/2007.