DR. PRESTON CHAD ELLIS MS, DDS
NPI 1518215458
Dentist - General Practice in Provo, UT

Active since August 27, 2012
3575 N 100 E STE 200, PROVO, UT 84604(801) 374-0070 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Preston Chad Ellis Ms, Dds NPPES

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

DR. PRESTON CHAD ELLIS MS, DDS (NPI 1518215458) is an individual general practice provider in Provo, Utah, licensed in Utah (270828-9923) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1518215458
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PRESTON CHAD ELLISCredential: MS, DDS
Location Address3575 N 100 E STE 200Provo, UT 84604-6653
Mailing Address3575 N 100 E Ste 200Provo, UT 84604-6653 · (801) 374-0070
Sole ProprietorYes
Enumeration DateAugust 27, 2012
NPI 1518215458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 270828-9923
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.
3575 N 100 E STE 200, Provo, UT 84604

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)
3575 N 100 E STE 200
PROVO, UT 84604

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 Preston Ellis's NPI number?

The NPI number for Preston Ellis is 1518215458. It was assigned to this individual provider in the NPPES registry on August 27, 2012.

Where is Preston Ellis located?

Preston Ellis practices at 3575 N 100 E Ste 200, Provo, UT 84604. The listed phone number is (801) 374-0070.

What is Preston Ellis'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 Preston Ellis was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.