DR. JUDITH DIANE ELLENDER DDS
NPI 1063545614
Dentist - General Practice in Sulphur, LA

Active since March 13, 2007
910 1ST AVE, SUITE A, SULPHUR, LA 70663(337) 527-6751(337) 527-6751 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Judith Diane Ellender Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUDITH DIANE ELLENDER DDS (NPI 1063545614) is an individual general practice provider in Sulphur, Louisiana, licensed in Louisiana (2640) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063545614
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUDITH DIANE ELLENDERCredential: DDS
Location Address910 1ST AVE, SUITE ASulphur, LA 70663-3425
Mailing Address910 1st Ave, Suite ASulphur, LA 70663-3425 · (337) 527-6751 · Fax (337) 527-6751
Fax(337) 527-6751
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063545614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in LA · 2640
Definition
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.
910 1ST AVE, Sulphur, LA 70663

Other Names 1

Professional Name (2)Dr. Judith Kiker Ellender Dds

Other Identifiers 1

Medicaid1826405LA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
910 1ST AVE, SUITE A
SULPHUR, LA 70663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Ellender's NPI number?

The NPI number for Judith Ellender is 1063545614. It was assigned to this individual provider in the NPPES registry on March 13, 2007. The provider is also known as Dr. Judith Kiker Ellender Dds.

Where is Judith Ellender located?

Judith Ellender practices at 910 1st Ave Suite A, Sulphur, LA 70663. The listed phone number is (337) 527-6751.

What is Judith Ellender's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Judith Ellender was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.