| Dr Samuel Dwayne Ellsworth, DDS | |
|
6333 E Mockingbird Ln, Suite 254, Dallas, TX 75214-2692 | |
| (214) 827-9500 | |
| (214) 827-9502 |
| Full Name | Dr Samuel Dwayne Ellsworth |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | 6333 E Mockingbird Ln, Dallas, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891097168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25488 (Texas) | Secondary |
| 1223P0300X | Dentist - Periodontics | 25488 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Dwayne Ellsworth, DDS 6333 E Mockingbird Ln, Suite 254, Dallas, TX 75214-2692 Ph: (214) 827-9500 | Dr Samuel Dwayne Ellsworth, DDS 6333 E Mockingbird Ln, Suite 254, Dallas, TX 75214-2692 Ph: (214) 827-9500 |
Dr. Aaron Kent Ip, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3010 Lyndon B Johnson Fwy, Ste 200, Dallas, TX 75234 Phone: 972-444-8888 Fax: 972-488-1899 | |
Dr. David M Alameel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3010 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75234 Phone: 972-444-8888 Fax: 972-243-6059 | |
Dr. James T Spillman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6316 Gaston Ave, Dallas, TX 75214 Phone: 214-823-5253 | |
Nicole L Benson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8620 Skillman St, Dallas, TX 75243 Phone: 214-341-0900 Fax: 214-580-5202 | |
Dr. Brent Steven Desutter, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 718 N Buckner Blvd Ste 110, Dallas, TX 75218 Phone: 214-295-8440 | |
Courtney Cunningham Ellis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1777 N Record St Apt 2402, Dallas, TX 75202 Phone: 806-570-0488 | |
Dr. Tae Eun You, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 S Buckner Blvd, Ste 223, Dallas, TX 75217 Phone: 214-391-6868 |