Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902398068 Individual Practitioner Male Practitioner

Dr. Jordan Michael Ellis , DMD

Dentist • Danville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Ellis, DMD is a registered healthcare professional specializing in Dentist in Danville, IL. Practice services are available at 1900 EAST MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 East Main St

Danville, IL 618326183

Telephone 2175543000

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Danville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Danville, IL (4751 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

CMS Verified: 2020-07-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019031635

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Alison Ciulini

Social Worker

NPI 1013274802
Dr. Jordan Meyer , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1023305562

Doctor of Pharmacy (Pharm.D.)

Justin Padaoan , LCSW

Social Worker - Clinical

NPI 1033673744

Licensed Clinical Social Worker

NPI 1033719208
Andrew Robbins

Internal Medicine - Pulmonary Disease

NPI 1053324442
Patrice Pelmore

Social Worker

NPI 1063192789

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 13, 2020

Registered at 1900 EAST MAIN ST, DANVILLE, IL 618326183 (Tel: 2175543000)

NPI Profile Active June 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2018

Registered at 124 E HIGHLAND DR, FORSYTH, IL 625358906 (Tel: 8554037490)

📍
Updated Business Mailing Address June 05, 2018

Registered at 1118 DOUGLAS ST, ALTON, IL 620022219 (Tel: 2177999533)

👤
Provider Name / Credentials Updated June 05, 2018

Recorded as JORDAN ELLIS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2018

Dentist (License #019031635 in IL)

🟢
Initial NPI Registration & Enumeration June 05, 2018

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: 1902398068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2018
Last Update: July 13, 2020
Sole Proprietor: No

Mailing Address

1118 Douglas St

Alton, IL 620022219

Phone: 2177999533

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.