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

Dr. Mitchell Ward Ellingson, DDS

Individual provider General Practice Dentistry · NPI 1497956742

Dr. Mitchell Ward Ellingson, DDS is a General Practice Dentistry in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
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

4530 E Shea Blvd
Phoenix, AZ 85028-6065
Phone: (602) 992-4510
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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 7229 (AZ)

Record details

NPI number1497956742
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 31, 2007
Last updated in NPPESFebruary 22, 2012
Mailing address4025 N Founder Cir, Buckeye, AZ 85396-3686

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