DR. STACY BRIAN ELLISON D.M.D.
NPI 1093843484
Dentist - General Practice in Louisville, KY

Active since February 28, 2007
2831 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220(502) 491-0330(502) 491-7431 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stacy Brian Ellison D.m.d. NPPES

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

DR. STACY BRIAN ELLISON D.M.D. (NPI 1093843484) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (5989) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1093843484
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STACY BRIAN ELLISONCredential: D.M.D.
Location Address2831 S HURSTBOURNE PKWYLouisville, KY 40220-4112
Mailing Address2831 S Hurstbourne PkwyLouisville, KY 40220-4112 · (502) 491-0330 · Fax (502) 491-7431
Fax(502) 491-7431
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1093843484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KY · 5989
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.

2831 S HURSTBOURNE PKWY, Louisville, KY 40220

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Pain)
2831 S HURSTBOURNE PKWY, STE A
LOUISVILLE, KY 40220
Family Medicine
2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220
Family Medicine
2831 S HURSTBOURNE PKWY, SUITE B
LOUISVILLE, KY 40220
Behavior Analyst
2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220
Behavior Analyst
2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220
Behavior Analyst
2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220
Behavior Analyst
2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093843484, enumerated as an "individual" on February 28, 2007.

The provider is located at 2831 S HURSTBOURNE PKWY LOUISVILLE, KY 40220 and the phone number is (502) 491-0330.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.