Dr. Larry Johnson Ellison is a Omaha, Nebraska based Endodontist who is specialized in
Endodontics. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Larry Johnson Ellison is
5949 for Endodontics in Nebraska. His current practice location is
615 N 90th St, Omaha. Patients can reach him at
402-393-5050.
Dr. Larry Johnson Ellison deals with 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.
Complete Profile:
Dr. Larry Johnson Ellison 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. Larry Johnson Ellison |
| Specialization: | Endodontist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 615 N 90th St, Omaha,
Nebraska, 68114-2821 |
| Phone: | 402-393-5050 |
| Fax: | 402-393-3401 |
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: | 1235236217 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 28 Aug, 2008 |
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. Larry Johnson Ellison are as mentioned below.
| License Number | Specialization | State | Status | |
| 5949 | Endodontics | Nebraska | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Larry Johnson Ellison such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 04989 | Other | Nebraska | BLUE CROSS AND BLUE SHILED |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 615 N 90th St,
Omaha, Nebraska |
| Zip: | 68114-2821 |
| Phone Number: | 402-393-5050 |
| Fax Number: | 402-393-3401 |
Patients can reach Dr. Larry Johnson Ellison at
615 N 90th St, Omaha, Nebraska or can
call to book an appointment on 402-393-5050.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.