David Alan Ellsworth, DDS

General Practice Dentistry · Petoskey, MI

Individual Active NPI

NPI number 1184804221

Practice location

523 W Jefferson St
Petoskey, MI 49770-2271
Phone
(231) 347-8899

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NPI record

NPI
1184804221
Entity type
Individual (Type 1)
Enumeration date
November 6, 2007
Last updated
November 6, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 18740 MI

About Dr. Ellsworth

David Alan Ellsworth, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 523 W Jefferson St, Petoskey, MI 49770-2271. The NPI number 1184804221 was assigned on November 6, 2007 and the record was last updated on November 6, 2007.

Dr. Ellsworth lists a license in the registry: #18740 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Alan Ellsworth, DDS?

The NPI number is 1184804221.

What is the phone number of Dr. Ellsworth?

The phone number listed for the practice location is (231) 347-8899.

Where is Dr. Ellsworth located?

523 W Jefferson St, Petoskey, MI 49770-2271.

What is the taxonomy code for Dr. Ellsworth?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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