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Jeffrey Ellenberg DMD PA

NPI 1740389030ActiveOrganization· Dentist· Clearwater, FL

Dentist in Clearwater, Florida, registered in NPPES in September 2006. The authorized official on file is Jeffrey Ellenberg, DMD, President Dentist Owner.

Overview

NPI1740389030
StatusActive
Entity typeOrganization
NPI issuedSep 22, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDN11742FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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