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ELLIS FAMILY DENTISTRY
NPI 1194900464
Dentist - General Practice in Huntsville, TN

Active since January 07, 2008
170 SCOTT HIGH DR, HUNTSVILLE, TN 37756(423) 663-4444(423) 663-4439 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2023, Dec 9, 2021 (2 updates tracked since 2021).

About Ellis Family Dentistry NPPES

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

ELLIS FAMILY DENTISTRY (NPI 1194900464) is a healthcare organization registered as a general practice in Huntsville, Tennessee and active in the NPI registry since January 2008. The organization lists Spencer A. Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1194900464
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSPENCER A. ELLIS
Location Address170 SCOTT HIGH DRHuntsville, TN 37756-4152
Mailing AddressPo Box 209Huntsville, TN 37756-0209 · (423) 663-4444 · Fax (423) 663-4439
Phone(423) 663-4444
Fax(423) 663-4439
Organization SubpartNo
Authorized OfficialSpencer A. EllisOwner · (423) 663-4444
Enumeration DateJanuary 7, 2008
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1194900464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · DS7646
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.
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
170 SCOTT HIGH DR, Huntsville, TN 37756
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Other Names 1

Doing Business AsEllis Family Dentistry

Other Identifiers 1

Other3139906TN · Blue Cross Blue Sheild

Other Providers at the Same Location NPPES

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

SPENCER ALLAN ELLIS
Dentist
170 SCOTT HIGH DR
HUNTSVILLE, TN 37756
Scott County (423) 663-4444

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 Spencer A. Ellis's NPI number?

The NPI number for Spencer A. Ellis is 1194900464. It was assigned to this organization in the NPPES registry on January 7, 2008. The provider is doing business as Ellis Family Dentistry.

Where is Spencer A. Ellis located?

Spencer A. Ellis is located at 170 Scott High Dr, Huntsville, TN 37756. The listed phone number is (423) 663-4444.

What is Spencer A. Ellis'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 Spencer A. Ellis was last updated on October 2, 2023. 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.