Jesse Ellsworth, DMD

NPI #1043662778 in Oak Ridge, Tennessee

Provider Information

NPI Number: 1043662778
Entity Type: Individual
Name: Jesse Ellsworth, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 6, 2016
Last Updated: Aug 30, 2022

Practice Location

Address: 126 E DIVISION RD
City: Oak Ridge
State: Tennessee
ZIP Code: 37830-6906
Phone: (865) 481-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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