IndividualActive
Eric Ellis, DMD
NPI 1093971749 · Pediatric Dentistry · Peoria, AZ
Eric Ellis, DMD is a Pediatric Dentistry provider in Peoria, AZ (NPI 1093971749).
Provider details
- NPI number
- 1093971749
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901019386 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31307 N 137th Ave
Peoria, AZ 85383-7941
Phone: (586) 322-9041
Street-level locationGet directions
Mailing address
31307 N 137th Ave
Peoria, AZ 85383-7941
Registry dates
- Enumerated
- 2008-08-01
- Last updated
- 2010-11-09
Frequently asked questions
- What is Eric Ellis's NPI number?
- Eric Ellis's National Provider Identifier (NPI) is 1093971749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eric Ellis's specialty?
- Eric Ellis is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Eric Ellis located?
- Eric Ellis's practice location on file with NPPES is 31307 N 137th Ave, Peoria, AZ 85383-7941.
- What is Eric Ellis's phone number?
- The practice phone number listed in the NPPES registry for Eric Ellis is (586) 322-9041.
- Is Eric Ellis's NPI active?
- Yes — Eric Ellis's NPI (1093971749) is active in the NPPES registry as of the last update on 2010-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.