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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.