Ellyce Clonan, DDS
NPI 1619461399ActiveIndividual· Dentist, General Practice· Buffalo, NY
Dentist, General Practice (DDS) in Buffalo, New York, licensed in NY, with an NPI issued in June 2018. Enrolled in Medicare as practitioner - dentist.
Overview
| NPI | 1619461399 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jun 18, 2018 |
| Last updated in NPPES | Jan 29, 2024 |
| Certified by provider | Jan 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 060727 | NY |
| Dentist, Dental Public Health | 1223D0001X | 060727 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (NY) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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