DR. DICK TRACY ELLISON DDS
NPI 1073616470
Dentist - General Practice in Muncie, IN

Active since September 07, 2006
1602 W JACKSON ST, MUNCIE, IN 47303(765) 289-0236 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dick Tracy Ellison Dds NPPES

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

DR. DICK TRACY ELLISON DDS (NPI 1073616470) is an individual general practice provider in Muncie, Indiana, licensed in Indiana (6592) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1073616470
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DICK TRACY ELLISONCredential: DDS
Location Address1602 W JACKSON STMuncie, IN 47303
Mailing Address1602 W Jackson StMuncie, IN 47303 · (765) 289-0236
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073616470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 6592
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.
1602 W JACKSON ST, Muncie, IN 47303

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1602 W JACKSON ST
MUNCIE, IN 47303

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 Dick Ellison's NPI number?

The NPI number for Dick Ellison is 1073616470. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Dick Ellison located?

Dick Ellison practices at 1602 W Jackson St, Muncie, IN 47303. The listed phone number is (765) 289-0236.

What is Dick Ellison's specialty?

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

What insurance does Dick Ellison accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 3 other insurers list Dick Ellison 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 Dick Ellison was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.