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DR. SCOTT BRADLEY ELLIS DMD
NPI 1093040800
Dentist in Dulles, VA

Active since October 13, 2009
23520 OVERLAND DR STE 134, DULLES, VA 20166(703) 661-3360(703) 661-3363 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott Bradley Ellis Dmd NPPES

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

DR. SCOTT BRADLEY ELLIS DMD (NPI 1093040800) is an individual dentist in Dulles, Virginia, licensed in Virginia (0401411747) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1093040800
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SCOTT BRADLEY ELLISCredential: DMD
Location Address23520 OVERLAND DR STE 134Dulles, VA 20166-2197
Mailing Address23520 Overland Dr Ste 134Dulles, VA 20166-2197 · (703) 661-3360 · Fax (703) 661-3363
Phone(703) 661-3360
Fax(703) 661-3363
Sole ProprietorNo
Enumeration DateOctober 13, 2009
✔ NPI 1093040800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401411747
Definition
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.
23520 OVERLAND DR STE 134, Dulles, VA 20166
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Other Providers at the Same Location NPPES

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

HEARTLAND DENTAL CARE OF VIRGINIA, P.C. (FKA MILLER DDS, PC)
Dentist (General Practice)
23520 OVERLAND DR STE 134
DULLES, VA 20166
Loudoun County (703) 661-3660

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 Scott Ellis's NPI number?

The NPI number for Scott Ellis is 1093040800. It was assigned to this individual provider in the NPPES registry on October 13, 2009.

Where is Scott Ellis located?

Scott Ellis practices at 23520 Overland Dr Ste 134, Dulles, VA 20166. The listed phone number is (703) 661-3360.

What is Scott Ellis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Scott Ellis was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.