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

Dr. Ellen Marie Tavarone, DDS

Individual provider Dentist · NPI 1558429605

Dr. Ellen Marie Tavarone, DDS is a Dentist in Kentwood, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

280 60th St SE Ste 200
Kentwood, MI 49548-9685
Phone: (616) 483-0750
Fax: (616) 551-3683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901017253 (MI)

Record details

NPI number1558429605
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

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