Individual
DR. ANDREW W ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7000
Mailing address
151 BODIN CIR, TRAVIS AFB, CA 94535-1801
(707) 423-5373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60527
CA
1223G0001X
General Practice Dentistry
DEN.00204146
CO
332BC3200X
Customized Equipment (DME)
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2012
Last updated
02/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us