DR. KATHLEEN MARIE ELLSWORTH DDS
NPI 1174526651
Dentist in Saranac, MI

Active since May 27, 2005
60 N. BRIDGE ST, SARANAC, MI 48881(616) 642-3500 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathleen Marie Ellsworth Dds NPPES

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

DR. KATHLEEN MARIE ELLSWORTH DDS (NPI 1174526651) is an individual dentist in Saranac, Michigan, licensed in Michigan (2901016334) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1174526651
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KATHLEEN MARIE ELLSWORTHCredential: DDS
Location Address60 N. BRIDGE STSaranac, MI 48881
Mailing Address60 N. Bridge St, Po Box 70Saranac, MI 48881 · (616) 642-3500
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateApril 7, 2022
NPPES CertifiedApril 7, 2022
NPI 1174526651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901016334
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.
60 N. BRIDGE ST, Saranac, MI 48881

Accepted Insurance

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 Kathleen Ellsworth's NPI number?

The NPI number for Kathleen Ellsworth is 1174526651. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Kathleen Ellsworth located?

Kathleen Ellsworth practices at 60 N. Bridge St, Saranac, MI 48881. The listed phone number is (616) 642-3500.

What is Kathleen Ellsworth's specialty?

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

What insurance does Kathleen Ellsworth accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Kathleen Ellsworth 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 Kathleen Ellsworth was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.