IndividualActive
Matthew Ellison, DDS
NPI 1790393213 · Dentist · Fort Liberty, NC
Matthew Ellison, DDS is a Dentist provider in Fort Liberty, NC (NPI 1790393213).
Provider details
- NPI number
- 1790393213
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D11258 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Womack Army Medical Center 2817 Reilly Road
Fort Liberty, NC 28310-0001
Phone: (910) 907-6974
Approximate (ZIP-level) locationGet directions
Mailing address
2828 W Avenue O4
Palmdale, CA 93551-3402
Registry dates
- Enumerated
- 2020-07-21
- Last updated
- 2023-06-13
- Certified
- 2023-06-13
Frequently asked questions
- What is Matthew Ellison's NPI number?
- Matthew Ellison's National Provider Identifier (NPI) is 1790393213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Ellison's specialty?
- Matthew Ellison is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Matthew Ellison located?
- Matthew Ellison's practice location on file with NPPES is Womack Army Medical Center 2817 Reilly Road, Fort Liberty, NC 28310-0001.
- What is Matthew Ellison's phone number?
- The practice phone number listed in the NPPES registry for Matthew Ellison is (910) 907-6974.
- Is Matthew Ellison's NPI active?
- Yes — Matthew Ellison's NPI (1790393213) is active in the NPPES registry as of the last update on 2023-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.