DR. Jordan Michael Ellis, DMD

NPI #1902398068 in Danville, Illinois

Provider Information

NPI Number: 1902398068
Entity Type: Individual
Name: DR. Jordan Michael Ellis, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 5, 2018
Last Updated: Jul 13, 2020

Practice Location

Address: 1900 EAST MAIN ST
City: Danville
State: Illinois
ZIP Code: 61832-6183
Phone: (217) 554-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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