1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Dentist
  6. NPI Profile

DR. SAMUEL DWAYNE ELLSWORTH D.D.S.
NPI 1891097168
Dentist - Periodontics in Dallas, TX

Active since November 18, 2010
6333 E MOCKINGBIRD LN, SUITE 254, DALLAS, TX 75214(214) 827-9500(214) 827-9502 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel Dwayne Ellsworth D.d.s. NPPES

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

DR. SAMUEL DWAYNE ELLSWORTH D.D.S. (NPI 1891097168) is an individual periodontics provider in Dallas, Texas, licensed in Texas (25488) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1891097168
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SAMUEL DWAYNE ELLSWORTHCredential: D.D.S.
Location Address6333 E MOCKINGBIRD LN, SUITE 254Dallas, TX 75214-2692
Mailing Address6333 E Mockingbird Ln, Suite 254Dallas, TX 75214-2692 · (214) 827-9500 · Fax (214) 827-9502
Phone(214) 827-9500
Fax(214) 827-9502
Sole ProprietorNo
Enumeration DateNovember 18, 2010
Last NPPES UpdateFebruary 18, 2014
✔ NPI 1891097168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 25488
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 25488 (TX)
6333 E MOCKINGBIRD LN, Dallas, TX 75214
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES 17

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

DR. MICHELLE DOBBS M.D.
Family Medicine
6333 E MOCKINGBIRD LN, SUITE 126
DALLAS, TX 75214
Dallas County (214) 826-6005
DR. JONATHAN KIRSCH DPT
Physical Therapist
6333 E MOCKINGBIRD LN, STE 139
DALLAS, TX 75214
Dallas County (469) 872-7473
RAYMOND CHIROPRACTIC PA
Chiropractor
6333 E MOCKINGBIRD LN, SUITE 260
DALLAS, TX 75214
Dallas County (214) 821-2525
DR. MURRAY RAYMOND D.C.
Chiropractor
6333 E MOCKINGBIRD LN, SUITE 260
DALLAS, TX 75214
Dallas County (214) 821-2525
C3 CHIROPRACTIC PA
Chiropractor
6333 E MOCKINGBIRD LN, SUTIE 223
DALLAS, TX 75214
Dallas County (940) 565-8118
TRAN DUONG
Pharmacist
6333 E MOCKINGBIRD LN
DALLAS, TX 75214
Dallas County (214) 823-9916
DEBORAH OWEN
Pharmacist
6333 E MOCKINGBIRD LN
DALLAS, TX 75214
Dallas County (214) 823-9916
RANDALLS FOOD & DRUGS LP
Pharmacy (Community/Retail Pharmacy)
6333 E MOCKINGBIRD LN
DALLAS, TX 75214
Dallas County (214) 823-9916

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 Samuel Ellsworth's NPI number?

The NPI number for Samuel Ellsworth is 1891097168. It was assigned to this individual provider in the NPPES registry on November 18, 2010.

Where is Samuel Ellsworth located?

Samuel Ellsworth practices at 6333 E Mockingbird Ln Suite 254, Dallas, TX 75214. The listed phone number is (214) 827-9500.

What is Samuel Ellsworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Samuel Ellsworth accept?

Health plans from Humana list Samuel Ellsworth 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 Samuel Ellsworth was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.