Scott Ellis, DDS

Dentist · Tyler, TX

Individual Active NPI

NPI number 1821272931

Practice location

5615 Old Bullard Road
Tyler, TX 75703-4306
Phone
(903) 561-3756

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NPI record

NPI
1821272931
Entity type
Individual (Type 1)
Enumeration date
December 26, 2007
Last updated
December 26, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 12185 TX

Mailing address

5615 Old Bullard Rd
Tyler, TX 75703-4306
Phone
(903) 561-3756

About Dr. Ellis

Scott Ellis, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5615 Old Bullard Road, Tyler, TX 75703-4306. The NPI number 1821272931 was assigned on December 26, 2007 and the record was last updated on December 26, 2007.

Dr. Ellis lists a license in the registry: #12185 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott Ellis, DDS?

The NPI number is 1821272931.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (903) 561-3756.

Where is Dr. Ellis located?

5615 Old Bullard Road, Tyler, TX 75703-4306.

What is the taxonomy code for Dr. Ellis?

The primary taxonomy code is 122300000X – Dentist.

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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