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

Dr. Richard Leroy Ellis II, DMD

Individual provider General Practice Dentistry · NPI 1073611547

Dr. Richard Leroy Ellis II, DMD is a General Practice Dentistry in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
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

5 S 700 E Ste B-30
Salt Lake City, UT 84102-1135
Phone: (801) 355-3263
Fax: (801) 534-0769
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 1408449922 (UT)

Record details

NPI number1073611547
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

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