Ty Ellsworth is a Show Low, Arizona 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 Ty Ellsworth is D009461 for Dentistry in Arizona. His current practice location is 2650 E Show Low Lake Rd Ste 1, Show Low. Patients can reach him at 928-537-4300.
Ty 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:
Ty 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:
Ty Ellsworth
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
2650 E Show Low Lake Rd Ste 1, Show Low, Arizona, 85901-7955
Phone:
928-537-4300
Fax:
928-532-6901
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:
1699124123
NPI Enumeration Date:
06 Jun, 2016
NPI Last Update On:
28 Jun, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ty Ellsworth are as mentioned below.
License Number
Specialization
State
Status
D009461
Dentistry
Arizona
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 3630, Flagstaff, Arizona
Zip:
86003-3630
Phone Number:
928-522-9879
Patients can reach Ty Ellsworth at 2650 E Show Low Lake Rd Ste 1, Show Low, Arizona or can call to book an appointment on 928-537-4300. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.