DR. Richard Leroy Ellis Ii, DMD is a general practice dentist in Salt Lake City, UT. 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. Richard Leroy Ellis Ii, DMD NPI is 1073611547. 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:
5 S 700 E
SUITE B-30
SALT LAKE CITY, UT
ZIP 84102-135
Phone: (801) 355-3263
Fax: (801) 534-0769
The NPI 1073611547 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 9/20/2006 and was last updated on 7/8/2007.