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

Dr. Fred Ray Ellis Jr., DMD

Individual provider General Practice Dentistry · NPI 1780604801

Dr. Fred Ray Ellis Jr., DMD is a General Practice Dentistry in Somerset, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

233 S Pleasant Ave #303
Somerset, PA 15501-2188
Phone: (814) 445-4636
Fax: (814) 445-1018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DSO22283L (PA)

Record details

NPI number1780604801
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESMarch 7, 2023

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