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

Dr. Samuel Dwayne Ellsworth, DDS

Individual provider Dentist · NPI 1891097168

Dr. Samuel Dwayne Ellsworth, DDS is a Dentist in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
Specialties on file
2
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

6333 E Mockingbird Ln Ste 254
Dallas, TX 75214-2692
Phone: (214) 827-9500
Fax: (214) 827-9502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 25488 (TX)
Dentist Taxonomy 122300000X · Licence 25488 (TX)

Record details

NPI number1891097168
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 18, 2010
Last updated in NPPESFebruary 18, 2014
Mailing address6333 E Mockingbird Ln, Suite 254, Dallas, TX 75214-2692

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