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Active NPI 1780604801 Individual Practitioner Male Practitioner

Dr. Fred Ray Ellis , DMD

Dentist - General Practice • Somerset, PA

Professional Overview & Biography Verified Profile Summary

Dr. Fred Ellis, DMD is a registered healthcare professional specializing in Dentist - General Practice in Somerset, PA. Practice services are available at 233 S. PLEASANT AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

233 S. Pleasant Ave.
#303

Somerset, PA 155012188

Telephone 8144454636
Fax 8144451018

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Somerset, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Somerset, PA (4936 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 PA DSO22283L

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dpa
0801431 (PA)
Commercial Insurance / Payer ID Dental License
DSO22283L (PA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1487184925

Doctor of Dental Medicine

Dr. Jasmine Renee Lopez , DMD

Dentist - General Practice

NPI 1497532840

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 233 S. PLEASANT AVE., #303, SOMERSET, PA 155012188 (Tel: 8144454636)

📍
Updated Business Mailing Address July 08, 2007

Registered at 233 S. PLEASANT AVE., #303, SOMERSET, PA 155012188 (Tel: 8144454636)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as FRED ELLIS, D.M.D.

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

Dentist (License #DSO22283L in PA)

🟢
Initial NPI Registration & Enumeration July 20, 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: 1780604801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

233 S. Pleasant Ave., #303

Somerset, PA 155012188

Phone: 8144454636

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.