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

Kayla Ellis, DDS

Individual provider General Practice Dentistry · NPI 1003703406

Kayla Ellis, DDS is a General Practice Dentistry in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
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

1710 NE 122nd Ave
Portland, OR 97230-1939
Phone: (503) 295-2120
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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 D12194 (OR)

Record details

NPI number1003703406
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address514 Se Belmont St Apt 501, Portland, OR 97214-4686

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