What is Michael Ellis's NPI number?

Michael Ellis's National Provider Identifier (NPI) is 1619995743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Ellis's specialty?

Michael Ellis is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Michael Ellis located?

Michael Ellis's practice location on file with NPPES is 1008 Mission Park Dr, Vicksburg, MS 39180-3735.

What is Michael Ellis's phone number?

The practice phone number listed in the NPPES registry for Michael Ellis is (601) 629-4100.

Is Michael Ellis's NPI active?

Yes — Michael Ellis's NPI (1619995743) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Michael Ellis, D.M.D.,P.A.

NPI 1619995743 · General Practice Dentistry · Vicksburg, MS

Michael Ellis, D.M.D.,P.A. is a General Practice Dentistry provider in Vicksburg, MS (NPI 1619995743).

Provider details

NPI number: 1619995743
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.M.D.,P.A.
Sex: Male
Sole proprietor: Yes
License: 204783 (MS)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 204783 (MS)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

1008 Mission Park Dr

Vicksburg, MS 39180-3735

Phone: (601) 629-4100

Fax: (601) 629-4101

Street-level locationGet directions

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Mailing address