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

Eric Edward Ellis, DMD

Individual provider Dentist · NPI 1093971749

Eric Edward Ellis, DMD is a Dentist in Peoria, Arizona. Practices as a sole proprietor. Licensed in Arizona and Michigan.

Licensed in
AZ, MI
In the registry since
2008
Specialties on file
3
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

31307 N 137th Ave
Peoria, AZ 85383-7941
Phone: (586) 322-9041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 7708 (AZ)
Dentist Taxonomy 122300000X · Licence 2901019386 (MI)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 2901019386 (MI)

Record details

NPI number1093971749
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 1, 2008
Last updated in NPPESNovember 9, 2010
Mailing address31307 N 137th Ave, Peoria, AZ 85383-7941

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