Dr. Preston Chad Ellis, MS, DDS
Dr. Preston Chad Ellis, MS, DDS is a General Practice Dentistry in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2012
What do these letters mean?
Practice location Address checks out
3575 N 100 E Ste 200Provo, UT 84604-6653
Phone: (801) 374-0070
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 270828-9923 (UT) |
|---|
Record details
| NPI number | 1518215458 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , DDS |
| Sole proprietor | Yes |
| NPI enumerated | August 27, 2012 |
| Last updated in NPPES | August 27, 2012 |
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