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Active NPI 1821272931 Individual Practitioner Male Practitioner

Dr. Scott Ellis , DDS

Dentist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Scott Ellis, DDS is a registered healthcare professional specializing in Dentist in Tyler, TX. Practice services are available at 5615 OLD BULLARD ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5615 Old Bullard Road

Tyler, TX 757034306

Telephone 9035613756
Associated Practice Facility / Clinic
🏢 J. Scott Ellis, D.d.s. Facility NPI 1457439846

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Tyler, TX (6851 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 TX 12185

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2007

Registered at 5615 OLD BULLARD ROAD, TYLER, TX 757034306 (Tel: 9035613756)

📍
Updated Business Mailing Address December 26, 2007

Registered at 5615 OLD BULLARD RD, TYLER, TX 757034306 (Tel: 9035613756)

👤
Provider Name / Credentials Updated December 26, 2007

Recorded as SCOTT ELLIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2007

Dentist (License #12185 in TX)

🟢
Initial NPI Registration & Enumeration December 26, 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: 1821272931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2007
Last Update: December 26, 2007
Sole Proprietor: No

Mailing Address

5615 Old Bullard Rd

Tyler, TX 757034306

Phone: 9035613756

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.