Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639278039 Individual Practitioner Male Practitioner

Dr. Kenneth Clay Ellis , DMD, LLC

Dentist - General Practice • Gadsden, AL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Ellis, DMD, LLC is a registered healthcare professional specializing in Dentist - General Practice in Gadsden, AL. Official NPI practice address is registered at 311 S 5TH ST STE A.

Practice Location & Contact Primary Location

Practice Address

311 S 5th St Ste A

Gadsden, AL 359014253

Telephone 2565431285
Fax 2565431719
Associated Practice Facility / Clinic
🏢 K. Clay Ellis, Jr., Dmd, Llc Facility NPI 1770229650

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gadsden, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
22 Specialists

Practicing in Gadsden, AL (1455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL 3842

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
008303580 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kayla Jennings , DMD

Dentist - General Practice

NPI 1467182691

Doctor of Dental Medicine

Dr. Linh Phan , DMD

Dentist - General Practice

NPI 1548953425

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 11, 2022

Registered at 311 S 5TH ST STE A, GADSDEN, AL 359014253 (Tel: 2565431285)

📍
Updated Business Mailing Address May 11, 2022

Registered at 311 S 5TH ST STE A, GADSDEN, AL 359014253 (Tel: 2565431285)

👤
Provider Name / Credentials Updated May 11, 2022

Recorded as KENNETH ELLIS, DMD, LLC

NPI Profile Active June 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2009

Registered at 315 S 4TH ST, GADSDEN, AL 359015212 (Tel: 2565431285)

📍
Updated Business Mailing Address June 23, 2009

Registered at 315 S 4TH ST, GADSDEN, AL 359015212 (Tel: 2565431285)

👤
Provider Name / Credentials Updated June 23, 2009

Recorded as KENNETH ELLIS, JR., DMD, LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2009

Dentist (License #3842 in AL)

🟢
Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639278039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: June 14, 2022
Sole Proprietor: Yes

Mailing Address

311 S 5th St Ste A

Gadsden, AL 359014253

Phone: 2565431285

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.