Organization
JEFFREY ELLENBERG DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ELLENBERG DMD (PRESIDENT DENTIST OWNER)
(727) 531-7751
Entity
Organization
Contact information
Practice address
1430 BELCHER ROAD SOUTH, CLEARWATER, FL 33764
(727) 531-7751
(727) 532-3006
Mailing address
1430 BELCHER ROAD SOUTH, CLEARWATER, FL 33764
(727) 531-7751
(727) 532-3006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11742
FL
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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