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

Dr. Kevin John Ellis, DMD

Individual provider General Practice Dentistry · NPI 1477526069

Dr. Kevin John Ellis, DMD is a General Practice Dentistry in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
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

205 34th St Ste 112
Virginia Beach, VA 23451-2836
Phone: (757) 428-5491
Fax: (757) 428-7663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7176 (VA)

Record details

NPI number1477526069
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJuly 8, 2007

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