Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184804221 Individual Practitioner Male Practitioner

Dr. David Alan Ellsworth , DDS

Dentist - General Practice • Petoskey, MI

Professional Overview & Biography Verified Profile Summary

Dr. David Ellsworth, DDS is a registered healthcare professional specializing in Dentist - General Practice in Petoskey, MI. Practice services are available at 523 W JEFFERSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

523 W Jefferson St

Petoskey, MI 497702271

Telephone 2313478899
Associated Practice Facility / Clinic
🏢 Harbor Pointe Dental Facility NPI 1649495995

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Petoskey, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Petoskey, MI (4360 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 18740

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 06, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2007

Registered at 523 W JEFFERSON ST, PETOSKEY, MI 497702271 (Tel: 2313478899)

📍
Updated Business Mailing Address November 06, 2007

Registered at 523 W JEFFERSON ST, PETOSKEY, MI 497702271 (Tel: 2313478899)

👤
Provider Name / Credentials Updated November 06, 2007

Recorded as DAVID ELLSWORTH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2007

Dentist (License #18740 in MI)

🟢
Initial NPI Registration & Enumeration November 06, 2007

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: 1184804221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2007
Last Update: November 06, 2007
Sole Proprietor: Yes

Mailing Address

523 W Jefferson St

Petoskey, MI 497702271

Phone: 2313478899

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.