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

Tamara Ellingson

Individual provider Dental Hygienist · NPI 1790292035

Tamara Ellingson is a Dental Hygienist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018

Practice location Address checks out

636 Broadway St NE
Minneapolis, MN 55413-2164
Phone: (612) 746-1530
Fax: (612) 746-1531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence H5941 (MN)

Record details

NPI number1790292035
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 9, 2018
Last updated in NPPESJanuary 9, 2018
Mailing address636 Broadway St Ne, Minneapolis, MN 55413-2164

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