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

Dr. Ellison Tippitt, DMD

Individual provider Dentist · NPI 1174458707

Dr. Ellison Tippitt, DMD is a Dentist in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2727 N Oakland Ave Ste AND104
Decatur, IL 62526-1586
Phone: (217) 875-4555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.037176 (IL)

Record details

NPI number1174458707
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address2727 N Oakland Ave Ste And104, Decatur, IL 62526-1586

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