Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrew W Ellis, DMD

Individual provider General Practice Dentistry · NPI 1568710820

Dr. Andrew W Ellis, DMD is a General Practice Dentistry in Travis AFB, California. Works from 2 locations. Licensed in California and Colorado.

Licensed in
CA, CO
In the registry since
2012
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (707) 423-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5041 Business Center Dr Ste 106, Fairfield, CA 94534-1787 — (707) 863-9950

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 60527 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DEN.00204146 (CO)
Customized Equipment (DME) Taxonomy 332BC3200X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568710820
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 16, 2012
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

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