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

Dr. Jordan Michael Ellis, DMD

Individual provider Dentist · NPI 1902398068

Dr. Jordan Michael Ellis, DMD is a Dentist in Danville, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
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

1900 E Main St
Danville, IL 61832-6183
Phone: (217) 554-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019031635 (IL)

Record details

NPI number1902398068
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020

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