Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.