DR. Shane L Ellsworth DMD

  • NPI 1639379522
According to our database, the NPI number for DR. Shane L Ellsworth DMD is 1639379522 and activated since 16 years ago. DR. Shane L Ellsworth DMD is an individual provider who specializes in General Practice, and the primary practice location is 704 Ne Evans St, Mcminnville, OR 97128. You can also contact DR. Shane L Ellsworth DMD via telephone number is (503) 472-1404. Provider NPI information was last updated on 01/06/2011.

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Overview of DR. Shane L Ellsworth DMD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/19/2007
  • Last updated: 01/06/2011

Primary Scrop of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: D9517
  • License State: OR

Provider Mailing Address

  • Address: 704 Ne Evans St
    Mcminnville, OR 97128
  • Phone: 503-472-1402
  • Fax:

Provider Practice Location

  • Address: 704 Ne Evans St
    Mcminnville, OR 97128
  • Phone: 503-472-1404
  • Fax:

Scope of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: D9517
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 004011136
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CT
  • Issuer:

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. Shane L Ellsworth DMD?
  • A: The npi number for DR. Shane L Ellsworth DMD is 1639379522.
  • Q: What are DR. Shane L Ellsworth DMD's specialties?
  • A: DR. Shane L Ellsworth DMD's specialties are General Practice and different specialities.
  • Q: What is the medical license for DR. Shane L Ellsworth DMD?
  • A: The medical license number for DR. Shane L Ellsworth DMD is D9517 and issued in OR in USA.
  • Q: Where is DR. Shane L Ellsworth DMD practice location?
  • A: DR. Shane L Ellsworth DMD is practicing at 704 Ne Evans St, Mcminnville, OR 97128.
  • Q: How to contact DR. Shane L Ellsworth DMD?
  • A: You can contact DR. Shane L Ellsworth DMD via 503-472-1404.