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Deactivated NPI 1235218025 Deactivated / Inactive NPI Male Practitioner

Dr. Ellsworth Arthur Patterson , DDS

Dentist • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ellsworth Patterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2006
NPI Deactivation Date August 24, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Ellsworth Patterson, DDS was a registered Dentist practicing in Phoenix, AZ. Throughout an active medical career spanning 14 years, Dr. Patterson provided care at the practice location at 240 W OSBORN RD until profile deactivation on 2020-08-24.

Practice Location & Contact Primary Location

Practice Address

240 W Osborn Rd

Phoenix, AZ 850133908

Telephone 6022772222
Fax 6022793742
Associated Practice Facility / Clinic
🏢 Sonus-Usa, Inc. Facility NPI 1376558130

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
412 Specialists

Practicing in Phoenix, AZ (1999 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ 721

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Susan Seiler , MS

Audiologist-Hearing Aid Fitter

NPI 1487605770

Master of Science

NPI 1619285053

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 24, 2020

Record deactivated on August 24, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 240 W OSBORN RD, PHOENIX, AZ 850133908 (Tel: 6022772222)

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Updated Business Mailing Address July 08, 2007

Registered at 240 W OSBORN RD, PHOENIX, AZ 850133908 (Tel: 6022772222)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ELLSWORTH PATTERSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #721 in AZ)

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Initial NPI Registration & Enumeration November 03, 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: 1235218025
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: July 08, 2007
Deactivation Date: August 24, 2020

Mailing Address

240 W Osborn Rd

Phoenix, AZ 850133908

Phone: 6022772222

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.