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Active NPI 1477512853 Individual Practitioner Female Practitioner

Dr. Holly Vokoun Ellenberger , DMD

Dentist - General Practice • Eielson Afb, AK

Professional Overview & Biography Verified Profile Summary

Dr. Holly Ellenberger, DMD is a registered healthcare professional specializing in Dentist - General Practice in Eielson Afb, AK. Practice services are available at 2630 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2630 Central Ave

Eielson Afb, AK 997022325

Telephone 9073776744
Associated Practice Facility / Clinic
🏢 354th Medgrp-Eielson Facility NPI 1902867229

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eielson Afb, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Eielson Afb, AK (346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 7150

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OH 30-020831

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelsey Broome , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1013253228

PHYSICIANASSISTANT

Natalie Peter , LISW

Social Worker - Clinical

NPI 1043738537

Licensed Independent Social Worker

Nicole Soto

Nurse Practitioner - Pediatrics

NPI 1073852265
Matthew Gray , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1104393446
NPI 1114470580

Doctor of Dental Surgery

NPI 1134714629

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Dentist (License #30-020831 in OH)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2630 CENTRAL AVE, EIELSON AFB, AK 997022325 (Tel: 9073776744)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2405B SUNDOG CT, EIELSON AFB, AK 997023102 (Tel: 6142450235)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HOLLY ELLENBERGER, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #7150 in KY)

🟢
Initial NPI Registration & Enumeration March 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477512853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2405b Sundog Ct

Eielson Afb, AK 997023102

Phone: 6142450235

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.