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

Dr. Scott Bradley Ellis, DMD

Individual provider Dentist · NPI 1093040800

Dr. Scott Bradley Ellis, DMD is a Dentist in Dulles, Virginia. Licensed in Virginia. Registered with an NPI since 2009.

Licensed in
VA
In the registry since
2009
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

23520 Overland Dr Ste 134
Dulles, VA 20166-2197
Phone: (703) 661-3360
Fax: (703) 661-3363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401411747 (VA)

Record details

NPI number1093040800
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 13, 2009
Last updated in NPPESOctober 13, 2009