Doctor profile · Federal record
Dr. Trent Ellis, DMD
Oral and Maxillofacial Surgery (Dentist) · Dentist · Joint Base Lewis McChord, WA
- NPI 1356828347
- 8 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9040A Jackson Avenue
Joint Base Lewis McChord, WA 984317719
(253) 968-0174 - Mailing address
-
9434 Copperway
Converse, TX 781092063
Credentials & registration
- NPI registered
- July 2018 — 8 yrs on file
- Profile last updated
- September 6, 2023
- Specialty taxonomy
- 1223S0112X — NUCC code
- State licenses (2)
- Washington #61404526 · Kentucky #10101
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356828347. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$291
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| KLS-Martin L.P. | 2 | $290.72 |
By nature of payment
Frequently asked questions
What is Dr. Trent Ellis's medical specialty?
Dr. Trent Ellis practices Oral and Maxillofacial Surgery (Dentist) in Joint Base Lewis McChord, WA.
Where does Dr. Trent Ellis practice?
Dr. Trent Ellis practices at 9040A Jackson Avenue, Joint Base Lewis McChord, WA 984317719. Office phone: 2539680174.
What is Dr. Trent Ellis's NPI?
Dr. Trent Ellis's National Provider Identifier (NPI) is 1356828347, issued by NPPES.