DR. ELLIE SEVERANCE DDS
NPI 1063254381
Dentist - General Practice in Odessa, MO

Q: What is Ellie Severance's NPI number?

The NPI number for Ellie Severance is 1063254381. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Q: What is Ellie Severance's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellie Severance was last updated on June 7, 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.

Active since June 07, 2024

404 N 4TH ST, ODESSA, MO 64076(573) 691-7700 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ellie Severance Dds NPPES

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

DR. ELLIE SEVERANCE DDS (NPI 1063254381) is an individual general practice provider in Odessa, Missouri, licensed in Missouri (2024019283) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1063254381

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ELLIE SEVERANCECredential: DDS

Location Address404 N 4TH STOdessa, MO 64076-1152

Mailing Address728 Hobbs RdJefferson City, MO 65109-6817 · (573) 691-7700

Phone(573) 691-7700

Sole ProprietorYes

Enumeration DateJune 7, 2024

NPPES CertifiedJune 7, 2024

✔ NPI 1063254381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2024019283

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.

404 N 4TH ST, Odessa, MO 64076

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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.

ODESSA FAMILY DENTAL, LLC

Dentist (General Practice)

404 N 4TH ST
ODESSA, MO 64076

Lafayette County (816) 633-5393

DR. JERRY L HANEY DDS

Dentist

404 N 4TH ST
ODESSA, MO 64076

Lafayette County (816) 633-5393

DR. SARAH YAFFA NAON DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

404 N 4TH ST
ODESSA, MO 64076

Lafayette County (816) 490-7330

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 Ellie Severance's NPI number?

The NPI number for Ellie Severance is 1063254381. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Where is Ellie Severance located?

Ellie Severance practices at 404 N 4th St, Odessa, MO 64076. The listed phone number is (573) 691-7700.

What is Ellie Severance's specialty?

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

When was this NPI record last updated?

The NPPES record for Ellie Severance was last updated on June 7, 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.