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

Individual provider Dentist · NPI 1639694672

Matthew Ryan Ellis, DDS is a Dentist in St Louis Park, Minnesota. Licensed in California and Minnesota. Registered with an NPI since 2017.

Licensed in
CA, MN
In the registry since
2017
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

8454 Highway 7
St Louis Park, MN 55426-3900
Phone: (952) 933-3667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D14822 (MN)
Dentist Taxonomy 122300000X · Licence 101852 (CA)

Record details

NPI number1639694672
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 10, 2017
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address5389 Empire Ln N, Plymouth, MN 55446-3916

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