Provider Demographics
NPI:1144249145
Name:REMSING, ELLEN ODETTE (DDS)
Entity type:Individual
Prefix:MISS
First Name:ELLEN
Middle Name:ODETTE
Last Name:REMSING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 LARAMIE
Mailing Address - Street 2:#201
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502
Mailing Address - Country:US
Mailing Address - Phone:920-254-5885
Mailing Address - Fax:
Practice Address - Street 1:4201 A ANDERSON AVENUE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503
Practice Address - Country:US
Practice Address - Phone:785-537-4337
Practice Address - Fax:785-539-4583
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60383126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0000116960OtherBLUE CROSS BLUE SHIELD