OrganizationActive
Ellsworth Dental Lp
NPI 1992589444 · General Practice Dentistry · Henderson, NV
Ellsworth Dental Lp is a General Practice Dentistry organization in Henderson, NV (NPI 1992589444).
Provider details
- NPI number
- 1992589444
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shane Ellswoth, Managing Member(503) 476-5242
Practice location
53 E Lake Mead Pkwy
Henderson, NV 89015-5832
Phone: (702) 566-4133
Street-level locationGet directions
Mailing address
5701 W Charleston Blvd Ste 103
Las Vegas, NV 89146-1256
Registry dates
- Enumerated
- 2023-08-23
- Last updated
- 2023-11-26
- Certified
- 2023-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.