Mervin Lee Ellstrom, DDS

  • Moreno Valley, CA
  • Dentist
NPI1083052138
Affiliated sites
1
State license
1
Year NPI issued
2013
Practice address
12900 Perris Blvd, Moreno Valley, CA 92553-4135
Practice phone
Call (951) 242-3431
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Sunnymead Dental Group

Physician office · Moreno Valley, California

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Mervin Lee Ellstrom is a dentist in Moreno Valley, California

Mervin Ellstrom practices at Sunnymead Dental Group in Moreno Valley, California.

Mervin Ellstrom's NPI, 1083052138, was assigned on June 11, 2013. Mervin Ellstrom holds California license 024928.

NPI and contact details
NPI enumeration date
June 11, 2013
NPI status
Active
Practice phone
(951) 242-3431
Professional email
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Personal email
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Mobile number
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Sex
Male

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Mervin Lee Ellstrom practices at Sunnymead Dental Group in Moreno Valley, California

Mervin Ellstrom's primary practice is Sunnymead Dental Group, at 12900 Perris Blvd, Moreno Valley, CA 92553-4135. The practice phone is (951) 242-3431.

  • Sunnymead Dental Group
    12900 Perris Blvd, Moreno Valley, CA 92553-4135Phone(951) 242-3431

Source: Dmand AI Affiliation Data

Mervin Lee Ellstrom is affiliated with 1 site of care

Mervin Ellstrom's primary practice is Sunnymead Dental Group in Moreno Valley, California.

Sunnymead Dental GroupPhysician office · Moreno Valley, CaliforniaPrimary

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Mervin Lee Ellstrom's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Mervin Ellstrom practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Sunnymead Dental GroupAvailable with a free account

Source: Dmand AI Technology Install Data

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Mervin Lee Ellstrom is one of 6,282 dentists in California

Dentist is Mervin Ellstrom's primary specialty in the NPI Registry, under taxonomy code 122300000X. Mervin Ellstrom is licensed in California.

Specialties and state licenses

  • Dentist, CaliforniaPrimaryLicense 024928 · taxonomy 122300000X

Dentists near Mervin Ellstrom

Counts of dentists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Mervin Lee Ellstrom's patients have a median age of 78

Across all payers, Dmand AI patient panel data puts Mervin Ellstrom's median patient age at 78, with 0% women.

Mervin Ellstrom's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 78

Patient panel by sex, all payers

  • Women0%
  • Men100%

Source: Dmand AI Patient Panel Data

Sources for Mervin Lee Ellstrom's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Mervin Lee Ellstrom

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What is Mervin Lee Ellstrom's NPI number?

Mervin Lee Ellstrom's NPI number is 1083052138. It was assigned on June 11, 2013, and it is active in the NPI Registry.

What does Mervin Lee Ellstrom specialize in?

Mervin Lee Ellstrom is a dentist in Moreno Valley, California. The primary specialty in the NPI Registry is Dentist (taxonomy code 122300000X).

Where does Mervin Lee Ellstrom practice?

Mervin Ellstrom practices at 12900 Perris Blvd, Moreno Valley, CA 92553-4135. Mervin Ellstrom's primary practice is Sunnymead Dental Group in Moreno Valley, California.

What is Mervin Lee Ellstrom's office phone number?

The practice phone on file for Mervin Ellstrom is (951) 242-3431.

What is Mervin Lee Ellstrom's medical license number?

Mervin Ellstrom holds California license 024928.

How long has Mervin Lee Ellstrom been practicing?

Mervin Ellstrom's NPI was assigned in 2013.

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