Individual
MR. WILLIAM J ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1030 E 11400 S SUITE 2, SANDY, UT 84094-6906
(801) 255-2100
(801) 619-8669
Mailing address
1030 E 11400 S SUITE 2, SANDY, UT 84094-6906
(801) 255-2100
(801) 619-8669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8414288
UT
1223G0001X
General Practice Dentistry
25409
TX
1223G0001X
General Practice Dentistry
8414288-9922
UT
Other
Enumeration date
06/01/2010
Last updated
08/21/2024
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