Dr. Ellis Chan Back is a Vallejo, California based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ellis Chan Back is
109664 for Dentistry in California. His current practice location is
3587 Sonoma Blvd, Vallejo. Patients can reach him at
925-683-4799.
Dr. Ellis Chan Back is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ellis Chan Back speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Ellis Chan Back |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3587 Sonoma Blvd, Vallejo,
California, 94590-2945 |
| Phone: | 925-683-4799 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1841064094 |
| NPI Enumeration Date: | 08 Nov, 2023 |
| NPI Last Update On: | 08 Nov, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ellis Chan Back are as mentioned below.
| License Number | Specialization | State | Status | |
| 109664 | Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 962 El Cajon Dr,
Danville, California |
| Zip: | 94526-1935 |
| Phone Number: | 925-683-4799 |
Patients can reach Dr. Ellis Chan Back at
3587 Sonoma Blvd, Vallejo, California or can
call to book an appointment on 925-683-4799.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.