DR. Jared M Ellingson, DMD

NPI #1992694822 in Oregon, Wisconsin

Provider Information

NPI Number: 1992694822
Entity Type: Individual
Name: DR. Jared M Ellingson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 3, 2025
Last Updated: Jul 3, 2025

Practice Location

Address: 787 N MAIN ST
City: Oregon
State: Wisconsin
ZIP Code: 53575-1030
Phone: (618) 819-6688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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