DR. Jon Matthew Ellenbecker, DDS

NPI #1982792289 in Sioux Falls, South Dakota

Provider Information

NPI Number: 1982792289
Entity Type: Individual
Name: DR. Jon Matthew Ellenbecker, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5201 S WESTERN AVE
City: Sioux Falls
State: South Dakota
ZIP Code: 57108-5004
Phone: (605) 339-2200

Specialties & Taxonomy Codes

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

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