Larisa Ellis, DDS

General Practice Dentistry · Old Saybrook, CT

Individual Active NPI

NPI number 1881664514

Practice location

263 Main St
Old Saybrook, CT 06475-2326
Phone
(860) 388-4433
Fax
(860) 388-4434

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NPI record

NPI
1881664514
Entity type
Individual (Type 1)
Enumeration date
January 25, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 009502 CT

Mailing address

635 Main St
Attn: Credentialing Department
Middletown, CT 06457-2718
Phone
(860) 347-6971
Fax
(860) 638-6601

About Dr. Ellis

Larisa Ellis, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 263 Main St, Old Saybrook, CT 06475-2326. The NPI number 1881664514 was assigned on January 25, 2006 and the record was last updated on July 13, 2026.

Dr. Ellis lists a license in the registry: #009502 (CT) 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 Larisa Ellis, DDS?

The NPI number is 1881664514.

What is the phone number of Dr. Ellis?

The phone number listed for the practice location is (860) 388-4433.

Where is Dr. Ellis located?

263 Main St, Old Saybrook, CT 06475-2326.

What is the taxonomy code for Dr. Ellis?

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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