DR. MICHAEL BARRY ELLIS D.M.D.,P.A.
NPI 1619995743
Dentist - General Practice in Vicksburg, MS

Q: What is Michael Ellis's NPI number?

The NPI number for Michael Ellis is 1619995743. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Michael Ellis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Ellis 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.

Active since July 17, 2006

1008 MISSION PARK DR, VICKSBURG, MS 39180(601) 629-4100(601) 629-4101 Get Directions Write a Review

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

On this page

About Dr. Michael Barry Ellis D.m.d.,p.a. NPPES

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

DR. MICHAEL BARRY ELLIS D.M.D.,P.A. (NPI 1619995743) is an individual general practice provider in Vicksburg, Mississippi, licensed in Mississippi (204783) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619995743

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL BARRY ELLISCredential: D.M.D.,P.A.

Location Address1008 MISSION PARK DRVicksburg, MS 39180-3735

Mailing Address1008 Mission Park DrVicksburg, MS 39180-3735 · (601) 629-4100 · Fax (601) 629-4101

Phone(601) 629-4100

Fax(601) 629-4101

Sole ProprietorYes

Enumeration DateJuly 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619995743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 204783

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.

1008 MISSION PARK DR, Vicksburg, MS 39180

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Other Providers at the Same Location NPPES 3

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

MR. PIERCE MIL MORGAN D.M.D

Dentist

1008 MISSION PARK DR
VICKSBURG, MS 39180

Warren County (601) 629-4101

DR. KAITLYN ELLIS D.M.D.

Dentist

1008 MISSION PARK DR
VICKSBURG, MS 39180

Warren County (601) 627-4100

MORGAN DENTISTRY, PA

Dentist

1008 MISSION PARK DR
VICKSBURG, MS 39180

Warren County (601) 629-4100

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 Michael Ellis's NPI number?

The NPI number for Michael Ellis is 1619995743. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Michael Ellis located?

Michael Ellis practices at 1008 Mission Park Dr, Vicksburg, MS 39180. The listed phone number is (601) 629-4100.

What is Michael 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 Michael Ellis 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.