DR. JOHN RICHARD ELLENBECKER JR. D.D.S.
NPI 1689835050
Dentist in Juneau, AK

Active since June 18, 2008
2211 JORDAN AVE, JUNEAU, AK 99801(907) 789-3696(907) 789-6852 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Dentist

About JOHN ELLENBECKER

This page provides the complete NPI Profile along with additional information for John Ellenbecker, a provider established in Juneau, Alaska with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1689835050 assigned on June 2008. The practitioner's primary taxonomy code is 122300000X with license number AA0546 (AK). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1689835050 Verify this NPI
Provider Name
DR. JOHN RICHARD ELLENBECKER JR. D.D.S.
Gender
Male
Entity Type
Individual
Location Address
2211 JORDAN AVE JUNEAU, AK 99801
Location Phone
(907) 789-3696
Location Fax
(907) 789-6852
Mailing Address
2211 JORDAN AVE JUNEAU, AK 99801
Mailing Phone
(907) 789-3696
Mailing Fax
(907) 789-6852
Is Sole Proprietor?
Yes
Enumeration Date
06-18-2008
Last Update Date
06-18-2008
Code Navigator

A dentist like John Ellenbecker is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
AA0546
License State
AK
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DD0546MEDICAID (05)AK 

Reviews for DR. JOHN RICHARD ELLENBECKER JR. D.D.S.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689835050, enumerated as an "individual" on June 18, 2008.

The provider is located at 2211 JORDAN AVE JUNEAU, AK 99801 and the phone number is (907) 789-3696.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.