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

Dr. Michael Roy Ellis, DMD

Individual provider General Practice Dentistry · NPI 1003968983

Dr. Michael Roy Ellis, DMD is a General Practice Dentistry in Bristol, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2007
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

789 Farmington Ave
Bristol, CT 06010-3919
Phone: (860) 583-6056
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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 007856 (CT)

Record details

NPI number1003968983
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 8, 2007
Mailing address789 Farmington Ave, Bristol, CT 06010-3919

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