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

Dr. Jeremy W Ellis, DDS

Individual provider General Practice Dentistry · NPI 1568558468

Dr. Jeremy W Ellis, DDS is a General Practice Dentistry in Logan, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

965 S 100 W #102
Logan, UT 84321-6062
Phone: (435) 752-9741
Fax: (435) 753-5169
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 99-373-9289922 (UT)

Record details

NPI number1568558468
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Logan