IndividualActive
Jesse Elledge, DDS
NPI 1285100776 · Dentist · Columbia Falls, MT
Provider details
- NPI number
- 1285100776
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19915 (MT)
Specialties & taxonomies
Dental Providers
Practice location
105 Nucleus Ave
Columbia Falls, MT 59912-4010
Phone: (530) 446-4714
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1866
Columbia Falls, MT 59912-1866
Registry dates
- Enumerated
- 2018-10-23
- Last updated
- 2021-09-24
- Certified
- 2021-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.