Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093040800 Individual Practitioner Male Practitioner

Dr. Scott Bradley Ellis , DMD

Dentist • Dulles, VA

Professional Overview & Biography Verified Profile Summary

Dr. Scott Ellis, DMD is a registered healthcare professional specializing in Dentist in Dulles, VA. Practice services are available at 23520 OVERLAND DR STE 134 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23520 Overland Dr Ste 134

Dulles, VA 201662197

Telephone 7036613360
Fax 7036613363
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Dulles, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Dulles, VA (2514 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 VA 0401411747

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 October 13, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2009

Registered at 23520 OVERLAND DR STE 134, DULLES, VA 201662197 (Tel: 7036613360)

📍
Updated Business Mailing Address October 13, 2009

Registered at 23520 OVERLAND DR STE 134, DULLES, VA 201662197 (Tel: 7036613360)

👤
Provider Name / Credentials Updated October 13, 2009

Recorded as SCOTT ELLIS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2009

Dentist (License #0401411747 in VA)

🟢
Initial NPI Registration & Enumeration October 13, 2009

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: 1093040800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2009
Last Update: October 13, 2009
Sole Proprietor: No

Mailing Address

23520 Overland Dr Ste 134

Dulles, VA 201662197

Phone: 7036613360

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.