DR. Mervin Lee Ellstrom DDS

  • NPI 1083052138
According to our database, the NPI number for DR. Mervin Lee Ellstrom DDS is 1083052138 and activated since 10 years ago. DR. Mervin Lee Ellstrom DDS is an individual provider who specializes in Dentist, and the primary practice location is 12900 Perris Blvd, Moreno Valley, CA 92553. You can also contact DR. Mervin Lee Ellstrom DDS via telephone number is (951) 242-3431. Provider NPI information was last updated on 06/11/2013.

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Overview of DR. Mervin Lee Ellstrom DDS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/11/2013
  • Last updated: 06/11/2013

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 024928
  • License State: CA

Provider Mailing Address

  • Address: 12900 Perris Blvd
    Suite 101
    Moreno Valley, CA 92553
  • Phone: 951-242-3431
  • Fax: 951-242-7570

Provider Practice Location

  • Address: 12900 Perris Blvd
    Suite 101
    Moreno Valley, CA 92553
  • Phone: 951-242-3431
  • Fax: 951-242-7570

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 024928
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Mervin Lee Ellstrom DDS?
  • A: The npi number for DR. Mervin Lee Ellstrom DDS is 1083052138.
  • Q: What are DR. Mervin Lee Ellstrom DDS's specialties?
  • A: DR. Mervin Lee Ellstrom DDS's specialties are Dentist and different specialities.
  • Q: What is the medical license for DR. Mervin Lee Ellstrom DDS?
  • A: The medical license number for DR. Mervin Lee Ellstrom DDS is 024928 and issued in CA in USA.
  • Q: Where is DR. Mervin Lee Ellstrom DDS practice location?
  • A: DR. Mervin Lee Ellstrom DDS is practicing at 12900 Perris Blvd, Moreno Valley, CA 92553.
  • Q: How to contact DR. Mervin Lee Ellstrom DDS?
  • A: You can contact DR. Mervin Lee Ellstrom DDS via 951-242-3431.