IndividualActive
Robert Ellis, DMD
NPI 1023079654 · Pediatric Dentistry · Columbia, SC
Robert Ellis, DMD is a Pediatric Dentistry provider in Columbia, SC (NPI 1023079654).
Provider details
- NPI number
- 1023079654
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 10406 (SC)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8905 Two Notch Rd
Columbia, SC 29223-6367
Phone: (803) 788-9593
Fax: (803) 788-3123
Street-level locationGet directions
Mailing address
8905 Two Notch Rd
Columbia, SC 29223-6367
Additional practice locations (1)
- 9704 Two Notch RdColumbia, SC 29223-4379Phone: (803) 402-3838
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2023-04-10
- Certified
- 2023-04-10
Frequently asked questions
- What is Robert Ellis's NPI number?
- Robert Ellis's National Provider Identifier (NPI) is 1023079654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Ellis's specialty?
- Robert Ellis is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Robert Ellis located?
- Robert Ellis's practice location on file with NPPES is 8905 Two Notch Rd, Columbia, SC 29223-6367.
- What is Robert Ellis's phone number?
- The practice phone number listed in the NPPES registry for Robert Ellis is (803) 788-9593.
- Is Robert Ellis's NPI active?
- Yes — Robert Ellis's NPI (1023079654) is active in the NPPES registry as of the last update on 2023-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.