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

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: July 26, 2026.

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

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
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

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.

Physical Therapist
WOMACK ARMY MEDICAL CENTER 2817 REILLY ROAD
FORT BRAGG, NC 28310
Pharmacist
WOMACK ARMY MEDICAL CENTER 2817 REILLY ROAD
FORT BRAGG, NC 28310
Specialist/Technologist (Athletic Trainer)
WOMACK ARMY MEDICAL CENTER 2817 REILLY ROAD
FORT BRAGG, NC 28310
General Practice
WOMACK ARMY MEDICAL CENTER 2817 REILLY ROAD
FORT BRAGG, NC 28310
Social Worker (Clinical)
WOMACK ARMY MEDICAL CENTER 2817 REILLY ROAD
FORT BRAGG, NC 28310

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 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.

Where is Matthew Ellison located?

Matthew Ellison practices at Womack Army Medical Center 2817 Reilly Road, Fort Liberty, NC 28310. The listed phone number is (910) 907-6974.

What is Matthew Ellison's specialty?

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

When was this NPI record last updated?

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