Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACY BRIAN ELLISON, D.M.D.
Active Sole ProprietorDR. STACY BRIAN ELLISON, D.M.D. is a General Dentistry healthcare provider located in LOUISVILLE, Kentucky. NPI 1093843484 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LOUISVILLE, KY
Registration Details
- NPI Number
- 1093843484
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2007 (19.470263059921 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5989 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2831 S HURSTBOURNE PKWYLOUISVILLE, KY, 402204112Browse KY providers · Browse ZIP 40220
- Phone
- 5024910330
- Fax
- 5024917431
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE GETTLEMAN | D.M.D. | 1306849963 |
| DR. WENDY STAVRIDES HUPP | D.M.D. | 1326043555 |
| DR. TAMMY ELIZABETH GRAHAM-FORTUNE | DMD | 1396740247 |
| DR. ALAN D WILKINSON | DMD | 1841296639 |
| DR. HOLLY MICHELLE VOTTELER | DMD | 1659379220 |
| DR. CRAIG B. BULT | D.M.D. | 1295737864 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.