TRENT PARKER ELLIS DMD NPI 1356828347

NPI Information

  • NPI: 1356828347
  • Provider Name: TRENT PARKER ELLIS, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9040A JACKSON AVENUE
    JOINT BASE LEWIS MCCHORD, WA
    ZIP 98431
  • Phone: (253) 968-0174

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NPI Details

Trent Parker Ellis, DMD is an oral and maxillofacial surgery dentist in Joint Base Lewis Mcchord, WA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Trent Parker Ellis, DMD NPI is 1356828347. 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:

9040A JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA
ZIP 98431-719
Phone: (253) 968-0174

The NPI 1356828347 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 7/23/2018 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery61404526WASHINGTONYes
2122300000XDentist10101KENTUCKYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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