DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY WAYNE ELLIS JR., DMD

Active Sole Proprietor

DR. TIMOTHY WAYNE ELLIS JR., DMD is a Dentist healthcare provider located in TULSA, Oklahoma. NPI 1669149944 is currently active in the NPPES registry. Verify at CMS.

Dentist · TULSA, OK

Registration Details

NPI Number
1669149944
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2021 (4.9474311336298 yrs)
Last Updated
Sep 30, 2025
Licenses
D011115 (AZ)
7797 (OK)
Sole Proprietor
Yes

Practice Information

Address
4955 S PEORIA AVE
TULSA, OK, 741054629
Browse OK providers · Browse ZIP 74105
Phone
9188956568
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in TULSA, OK

Name Credential NPI
DR. WILLIAM F LETCHER D.M.D. 1558365213
DR. GARY H SMITH DDS 1417940743
WILLIAM R EVANS DDS 1275526881
DR. EUGENE WELKER MCCORMICK D.D.S. 1962496851
DR. GAYLE A DENNEHY DDS 1528053170
DR. CHALMERS RIEGER WOOD III DDS 1396716726
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.