Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689835050 Individual Practitioner Male Practitioner

Dr. John Richard Ellenbecker , DDS

Dentist • Juneau, AK

Professional Overview & Biography Verified Profile Summary

Dr. John Ellenbecker, DDS is a registered healthcare professional specializing in Dentist in Juneau, AK. Practice services are available at 2211 JORDAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2211 Jordan Ave

Juneau, AK 998018050

Telephone 9077893696
Fax 9077896852

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Juneau, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Juneau, AK (376 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AK AA0546

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
DD0546 (AK)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 18, 2008

Registered at 2211 JORDAN AVE, JUNEAU, AK 998018050 (Tel: 9077893696)

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Updated Business Mailing Address June 18, 2008

Registered at 2211 JORDAN AVE, JUNEAU, AK 998018050 (Tel: 9077893696)

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Provider Name / Credentials Updated June 18, 2008

Recorded as JOHN ELLENBECKER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2008

Dentist (License #AA0546 in AK)

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Initial NPI Registration & Enumeration June 18, 2008

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: 1689835050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2008
Last Update: June 18, 2008
Sole Proprietor: Yes

Mailing Address

2211 Jordan Ave

Juneau, AK 998018050

Phone: 9077893696

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.