Trent Parker Ellis, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1356828347

Trent Parker Ellis, DMD is an Oral and Maxillofacial Surgery (Dentist) in Joint Base Lewis McChord, Washington. Licensed in Kentucky and Washington. Registered with an NPI since 2018.

Licensed in: KY, WA
In the registry since: 2018
Specialties on file: 2

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

9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-7719
Phone: (253) 968-0174

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary)	Taxonomy 1223S0112X · Licence 61404526 (WA)
Dentist	Taxonomy 122300000X · Licence 10101 (KY)

Record details

NPI number	1356828347
Entity type	Individual (Type 1)
Gender	Male
Credentials	DMD
Sole proprietor	No
NPI enumerated	July 23, 2018
Last updated in NPPES	September 6, 2023
Certification date	September 6, 2023