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DR. WAYNE R. ELLIS D.D.S.
NPI 1427166024
Dentist - Endodontics in Boise, ID

Active since August 25, 2006
6363 W EMERALD ST, BUILDING 102, BOISE, ID 83704(208) 376-6307(208) 376-9011 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Wayne R. Ellis D.d.s. NPPES

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

DR. WAYNE R. ELLIS D.D.S. (NPI 1427166024) is an individual endodontics provider in Boise, Idaho, licensed in Idaho (D-1522) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1427166024
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. WAYNE R. ELLISCredential: D.D.S.
Location Address6363 W EMERALD ST, BUILDING 102Boise, ID 83704-8783
Mailing Address6363 W Emerald St, Building 102Boise, ID 83704-8783 · (208) 376-6307 · Fax (208) 376-9011
Phone(208) 376-6307
Fax(208) 376-9011
Sole ProprietorYes
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427166024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in ID · D-1522
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
6363 W EMERALD ST, Boise, ID 83704
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Other Providers at the Same Location NPPES 4

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

SCOTT FREEMAN, D.M.D., P.A.
Clinic/Center (Dental)
6363 W EMERALD ST, #101
BOISE, ID 83704
Ada County (208) 377-2150
BOISE ORAL AND MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
6363 W EMERALD ST, SUITE 103
BOISE, ID 83704
Ada County (208) 376-4550
DR. BRUCE MORRISON DDS
Dentist (Oral and Maxillofacial Surgery)
6363 W EMERALD ST, SUITE 103
BOISE, ID 83704
Ada County (208) 376-4550
DR. MADISON FULBRIGHT DMD
Dentist
6363 W EMERALD ST
BOISE, ID 83704
Ada County (208) 376-7413

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 Wayne Ellis's NPI number?

The NPI number for Wayne Ellis is 1427166024. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Wayne Ellis located?

Wayne Ellis practices at 6363 W Emerald St Building 102, Boise, ID 83704. The listed phone number is (208) 376-6307.

What is Wayne Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Wayne Ellis 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.