JEREMY W ELLIS, D.D.S

NPI: 1568558468 · Individual · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

965 S 100 W
#102
LOGAN, UT 84321-6062 Map ↗
Phone: 435-752-9741
Fax: 435-753-5169

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice (license: 99-373-9289922, UT)

NPI Registration

Enumerated: 2006-10-05

Last CMS Update: 2007-07-08