DR. Chase Daniel Ellis, DDS

NPI #1952830689 in Port Matilda, Pennsylvania

Provider Information

NPI Number: 1952830689
Entity Type: Individual
Name: DR. Chase Daniel Ellis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Pediatric Dentistry
Credential: DDS
Enumeration Date: Jun 6, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1019 GHANER RD STE 100
City: Port Matilda
State: Pennsylvania
ZIP Code: 16870-7236
Phone: (814) 238-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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Organizations

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