DR. MATTHEW T ELLISON DDS
NPI 1790393213
Dentist in Fort Liberty, NC

Q: What is Matthew Ellison's NPI number?

The NPI number for Matthew Ellison is 1790393213. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Q: What is Matthew Ellison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Ellison was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 21, 2020

WOMACK ARMY MEDICAL CENTER 2817 REILLY ROAD, FORT LIBERTY, NC 28310(910) 907-6974 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2023, Sep 30, 2021, Jul 21, 2020 (3 updates tracked since 2020).

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About Dr. Matthew T Ellison Dds NPPES

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

DR. MATTHEW T ELLISON DDS (NPI 1790393213) is an individual dentist in Fort Liberty, North Carolina, licensed in Oregon (D11258) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1790393213

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MATTHEW T ELLISONCredential: DDS

Location AddressWOMACK ARMY MEDICAL CENTER 2817 REILLY ROADFort Liberty, NC 28310-0001

Mailing Address2828 W Avenue O4Palmdale, CA 93551-3402 · (661) 917-4077

Phone(910) 907-6974

Sole ProprietorNo

Enumeration DateJuly 21, 2020

Last NPPES UpdateJune 13, 20233 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1790393213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D11258

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.

WOMACK ARMY MEDICAL CENTER 2817 REILLY ROAD, Fort Liberty, NC 28310

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Other Providers at the Same Location NPPES 5

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

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