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

Dr. Matthew T Ellison, DDS

Individual provider Dentist · NPI 1790393213

Dr. Matthew T Ellison, DDS is a Dentist in Fort Liberty, North Carolina. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
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

Womack Army Medical Center 2817 Reilly Rd
Fort Liberty, NC 28310-0001
Phone: (910) 907-6974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11258 (OR)

Record details

NPI number1790393213
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 21, 2020
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

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