Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J. Scott Ellis, DDS

Organization Dentist · NPI 1457439846

J. Scott Ellis, DDS is a Dentist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

5615 Old Bullard Rd
Tyler, TX 75703-4306
Phone: (903) 561-3756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12185 (TX)

Record details

NPI number1457439846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ellis — President · (903) 561-3756
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5615 Old Bullard Rd, Tyler, TX 75703-4306

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