Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL DWAYNE ELLSWORTH, D.D.S.
ActiveDR. SAMUEL DWAYNE ELLSWORTH, D.D.S. is a Periodontology healthcare provider located in DALLAS, Texas. NPI 1891097168 is currently active in the NPPES registry. Verify at CMS.
Periodontology · DALLAS, TX
Registration Details
- NPI Number
- 1891097168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2010 (15.735899599326 yrs)
- Last Updated
- Feb 18, 2014
- Licenses
-
25488 (TX)25488 (TX)
Practice Information
- Address
-
6333 E MOCKINGBIRD LNSUITE 254DALLAS, TX, 752142692Browse TX providers · Browse ZIP 75214
- Phone
- 2148279500
- Fax
- 2148279502
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in DALLAS, TX
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS BRADLEY CRUMP | D.D.S., M.S. | 1689678252 |
| DR. MARSHAL D GOLDBERG | DDS | 1043216245 |
| DR. THOMAS G. WILSON JR. | D.D.S. | 1124011002 |
| DR. GARTH ROBERT GRIFFITHS | D.D.S. | 1427086883 |
| DR. DAVID BROCK LYNN JR. | D.D.S. | 1639198310 |
| DR. CRAIG STUART GOODMAN | DDS | 1285658005 |
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.