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

Jesse Ellsworth, DMD

Individual provider Dentist · NPI 1043662778

Jesse Ellsworth, DMD is a Dentist in Oak Ridge, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

126 E Division Rd
Oak Ridge, TN 37830-6906
Phone: (865) 481-0008
Fax: (865) 481-0695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS10287 (TN)

Record details

NPI number1043662778
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 6, 2016
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address1018 Garrison Ridge Blvd, Knoxville, TN 37922-5155

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