Individual
DR. JARED M ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
787 N MAIN ST, OREGON, WI 53575-1030
(618) 819-6688
Mailing address
2710 COUNTY ROAD MN, COTTAGE GROVE, WI 53527-9514
(815) 262-5332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001882-15
WI
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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