Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW T ELLISON, DDS
ActiveDR. MATTHEW T ELLISON, DDS is a Dentist healthcare provider located in FORT LIBERTY, North Carolina. NPI 1790393213 is currently active in the NPPES registry. Verify at CMS.
Dentist · FORT LIBERTY, NC
Registration Details
- NPI Number
- 1790393213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2020 (5.8838326721953 yrs)
- Last Updated
- Jun 13, 2023
- License
-
D11258 (OR)
Practice Information
- Address
-
WOMACK ARMY MEDICAL CENTER 2817 REILLY ROADFORT LIBERTY, NC, 283100001Browse NC providers · Browse ZIP 28310
- Phone
- 9109076974
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FORT LIBERTY, NC
| Name | Credential | NPI |
|---|---|---|
| DR. RUTH ANNE NELSON | DDS | 1962494245 |
| JAMES G DELUCA | DMD | 1790800688 |
| NICOLETTE YOUNG PITTMAN | DMD | 1043837495 |
| DR. MEREDITH CLARK | DDS | 1760091409 |
| SAMEH DAWOUD TAWADROUS | DDS | 1518553775 |
| IAN PETERS | DDS | 1972277549 |
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.