Individual
DR. DANIEL L ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15751 W DODGE RD, OMAHA, NE 68118-2536
(402) 397-8050
Mailing address
15751 W DODGE RD, OMAHA, NE 68118-2536
(402) 397-8050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7004
NE
1223G0001X
General Practice Dentistry
Primary
7004
NE
Other
Enumeration date
06/14/2012
Last updated
06/11/2019
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