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

Dr. Kaitlyn Ellis, DMD

Individual provider Dentist · NPI 1548611098

Dr. Kaitlyn Ellis, DMD is a Dentist in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1008 Mission Park Dr
Vicksburg, MS 39180-3735
Phone: (601) 627-4100
Fax: (601) 629-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 387216 (MS)

Record details

NPI number1548611098
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESJune 27, 2016

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