Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TY ELLSWORTH, DMD
ActiveTY ELLSWORTH, DMD is a Dentist healthcare provider located in SHOW LOW, Arizona. NPI 1699124123 is currently active in the NPPES registry. Verify at CMS.
Dentist · SHOW LOW, AZ
Registration Details
- NPI Number
- 1699124123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2016 (10.146791234933 yrs)
- Last Updated
- Jun 28, 2021
- License
-
D009461 (AZ)
Practice Information
- Address
-
2650 E SHOW LOW LAKE RD STE 1SHOW LOW, AZ, 859017955Browse AZ providers · Browse ZIP 85901
- Phone
- 9285374300
- Fax
- 9285326901
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SHOW LOW, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. CHESTER TRENT ADAMS | DMD | 1134579022 |
| DR. CLIFTON AUBREY CARPENTER | DDS | 1548613185 |
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.