NPI 1093872582
Sean Frank Ellis, DDS
Practice location
- Address
- 1212 East 12th Street, Casper, WY 82601-3910
- Phone
- (307) 265-8505
- Fax
- (307) 265-2005
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1093872582
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.