National Provider Identifier Database

WAYNE R ELLIS, DDS – NPI #1427166024
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

WAYNE R ELLIS, DDS
6363 W EMERALD ST
BUILDING 102
BOISE, ID83704-8783
Phone: 208-376-6307
Fax: 208-376-9011
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for WAYNE R ELLIS

NPI Number 1427166024
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • ID License #: D-1522
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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