Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeffrey Mark Ellis, DDS, MS, CNS

Individual provider General Practice Dentistry · NPI 1417087719

Dr. Jeffrey Mark Ellis, DDS, MS, CNS is a General Practice Dentistry in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

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Practice location Address checks out

3237 Route 112 Bldg 6
Medford, NY 11763-1424
Phone: (631) 698-6934
Fax: (631) 698-5361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 039551 (NY)

Record details

NPI number1417087719
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS , CNS
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 8, 2007

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