Dr. Samuel Dwayne Ellsworth
D.D.S. | Dentist
6333 E Mockingbird Ln, Suite 254, Dallas
Texas, 75214-2692
214-827-9500 214-827-9502
Maps & DirectionsDr. Samuel Dwayne Ellsworth is a Dallas, Texas based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Samuel Dwayne Ellsworth is
25488 for Periodontology in Texas. His current practice location is
6333 E Mockingbird Ln, Suite 254, Dallas. Patients can reach him at
214-827-9500.
Dr. Samuel Dwayne Ellsworth is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Samuel Dwayne Ellsworth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Samuel Dwayne Ellsworth |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 6333 E Mockingbird Ln, Suite 254, Dallas,
Texas, 75214-2692 |
| Phone: | 214-827-9500 |
| Fax: | 214-827-9502 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1891097168 |
| NPI Enumeration Date: | 18 Nov, 2010 |
| NPI Last Update On: | 18 Feb, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Samuel Dwayne Ellsworth are as mentioned below.
| License Number | Specialization | State | Status | |
| 25488 | Periodontology | Texas | Primary | |
| 25488 | Dentistry | Texas | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6333 E Mockingbird Ln, Suite 254
Dallas, Texas |
| Zip: | 75214-2692 |
| Phone Number: | 214-827-9500 |
| Fax Number: | 214-827-9502 |
Patients can reach Dr. Samuel Dwayne Ellsworth at
6333 E Mockingbird Ln, Suite 254, Dallas, Texas or can
call to book an appointment on 214-827-9500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.