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

Dr. Ryan Ellis, DDS

Individual provider Periodontics · NPI 1235379454

Dr. Ryan Ellis, DDS is a Periodontics in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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.

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Practice location Address checks out

5479 N Fresno St Ste 104
Fresno, CA 93710-8328
Phone: (559) 439-5280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 53786 (CA)

Record details

NPI number1235379454
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 27, 2009
Last updated in NPPESFebruary 27, 2009
Mailing address1495 10th Ave Apt 3, San Francisco, CA 94122-3670

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