DR. Taylor Austin Ellson, DMD

NPI #1164038030 in Shady Cove, Oregon

Provider Information

NPI Number: 1164038030
Entity Type: Individual
Name: DR. Taylor Austin Ellson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Sep 16, 2020
Last Updated: Sep 16, 2020

Practice Location

Address: 21300 HIGHWAY 62
City: Shady Cove
State: Oregon
ZIP Code: 97539-7707
Phone: (541) 878-2115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
Shady Cove Family Dentistry	Dentist - General Practice	Shady Cove	AI Deep Dive

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