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DR. TIMOTHY WAYNE ELLIS JR. DMD
NPI 1669149944
Dentist in Tulsa, OK

Active since August 25, 2021
4955 S PEORIA AVE, TULSA, OK 74105(918) 895-6568 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2024, Aug 25, 2021 (2 updates tracked since 2021).

About Dr. Timothy Wayne Ellis Jr. Dmd NPPES

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

DR. TIMOTHY WAYNE ELLIS JR. DMD (NPI 1669149944) is an individual dentist in Tulsa, Oklahoma, licensed in Oklahoma (7797) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1669149944
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TIMOTHY WAYNE ELLIS JR.Credential: DMD
Location Address4955 S PEORIA AVETulsa, OK 74105-4629
Mailing Address3929 W Angela DrGlendale, AZ 85308-3012 · (720) 427-4909
Phone(918) 895-6568
Sole ProprietorYes
Enumeration DateAugust 25, 2021
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1669149944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in OK · 7797✔ Licensed in AZ · D011115
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.
4955 S PEORIA AVE, Tulsa, OK 74105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

DR. DAVID SCOTT SCHEUERMAN D.D.S.
Dentist
4955 S PEORIA AVE
TULSA, OK 74105
Tulsa County (918) 895-6902
DR. CALEB TAYLOR RUFF DDS
Dentist
4955 S PEORIA AVE
TULSA, OK 74105
Tulsa County (918) 895-6568
HERO DENTAL OF TULSA PC
Dentist (General Practice)
4955 S PEORIA AVE
TULSA, OK 74105
Tulsa County (719) 576-1850
EASTERN OKLAHOMA DENTAL ANESTHESIA SPECIALISTS, LLC
Nurse Anesthetist, Certified Registered
4955 S PEORIA AVE
TULSA, OK 74105
Tulsa County (918) 978-8191
SPRING DENTAL SPECIALTY, PLLC
Dentist (General Practice)
4955 S PEORIA AVE
TULSA, OK 74105
Tulsa County (918) 895-6568
BRIANNA T JONES DDS
Dentist (General Practice)
4955 S PEORIA AVE
TULSA, OK 74105
Tulsa County (918) 895-6568
DR. BRITTANY KAY DEGEN ELLIS DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
4955 S PEORIA AVE
TULSA, OK 74105
Tulsa County (360) 771-0123
DR. SHANNON GREEN DDS
Dentist (Oral and Maxillofacial Surgery)
4955 S PEORIA AVE
TULSA, OK 74105
Tulsa County (918) 895-6568

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 Timothy Ellis's NPI number?

The NPI number for Timothy Ellis is 1669149944. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Timothy Ellis located?

Timothy Ellis practices at 4955 S Peoria Ave, Tulsa, OK 74105. The listed phone number is (918) 895-6568.

What is Timothy Ellis's specialty?

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

What insurance does Timothy Ellis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 13 other insurers list Timothy Ellis 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 Timothy Ellis was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.