Dr. Gary Lynn Ellis
DDS | Oral and Maxillofacial Pathologist
500 Chipeta Way, Salt Lake City
Utah, 84108-1221
801-583-2787 801-584-5255
Maps & DirectionsDr. Gary Lynn Ellis is a Salt Lake City, Utah based Oral and Maxillofacial Pathologist who is specialized in
Oral and Maxillofacial Pathology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gary Lynn Ellis is
5129775-9921 for Oral and Maxillofacial Pathology in Utah. His current practice location is
500 Chipeta Way, Salt Lake City. Patients can reach him at
801-583-2787.
Dr. Gary Lynn Ellis is specialized in that branch of dentistry and pathology which deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Complete Profile:
Dr. Gary Lynn Ellis 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. Gary Lynn Ellis |
| Specialization: | Oral and Maxillofacial Pathologist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 500 Chipeta Way, Salt Lake City,
Utah, 84108-1221 |
| Phone: | 801-583-2787 |
| Fax: | 801-584-5255 |
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: | 1700840717 |
| NPI Enumeration Date: | 14 Apr, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
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. Gary Lynn Ellis are as mentioned below.
| License Number | Specialization | State | Status | |
| 5129775-9921 | Oral and Maxillofacial Pathology | Utah | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gary Lynn Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5129775-9921 | Other | Utah | DENTAL LICENSE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 500 Chipeta Way,
Salt Lake City, Utah |
| Zip: | 84108-1221 |
| Phone Number: | 801-583-2787 |
| Fax Number: | 801-584-5255 |
Patients can reach Dr. Gary Lynn Ellis at
500 Chipeta Way, Salt Lake City, Utah or can
call to book an appointment on 801-583-2787.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.