ELLIS TOOTH FAIRY PLLC
NPI 1063251171
Dentist - General Practice in Fort Worth, TX

Active since May 20, 2024
2725 ELLIS AVE, FORT WORTH, TX 76164(646) 262-6648(646) 262-6648 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellis Tooth Fairy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIS TOOTH FAIRY PLLC (NPI 1063251171), doing business as Ellis Dental, is a healthcare organization registered as a general practice in Fort Worth, Texas and active in the NPI registry since May 2024. The organization lists Yuexi Chen, Mananger, as its authorized official.

NPPES Registry Identity

NPI1063251171
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELLIS TOOTH FAIRY PLLC
Location Address2725 ELLIS AVEFort Worth, TX 76164-7106
Mailing Address12070 Brownwood DrFrisco, TX 75035-8860 · (646) 262-6648
Fax(646) 262-6648
Organization SubpartNo
Authorized OfficialYuexi ChenMananger · (646) 262-6648
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1063251171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
2725 ELLIS AVE, Fort Worth, TX 76164

Other Names 1

Doing Business AsEllis Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2725 ELLIS AVE
FORT WORTH, TX 76164
Clinic/Center (Dental)
2725 ELLIS AVE
FORT WORTH, TX 76164
Dentist (General Practice)
2725 ELLIS AVE, SUITE B
FORT WORTH, TX 76164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellis Tooth Fairy PLLC's NPI number?

The NPI number for Ellis Tooth Fairy PLLC is 1063251171. It was assigned to this organization in the NPPES registry on May 20, 2024. The provider is doing business as ellis dental.

Where is Ellis Tooth Fairy PLLC located?

Ellis Tooth Fairy PLLC is located at 2725 Ellis Ave, Fort Worth, TX 76164. The listed phone number is (646) 262-6648.

What is Ellis Tooth Fairy PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ellis Tooth Fairy PLLC accept?

Health plans from DentaQuest USA Insurance Company, Inc., Solstice Healthplans of Texas, Inc. and UnitedHealthcare list Ellis Tooth Fairy PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellis Tooth Fairy PLLC was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.