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● Active Type 1 · Individual

Courtney Cunningham Ellis, DDS

Dentist·Dallas, TX· NPI 1003309592 · Enumerated 2018 · 8 years on NPI
Cunningham Ellis is 1 of 615 dentist providers in Dallas and 1 of 9,485 in Texas.
NPI age
8 years
Enumerated 2018-06-11
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-08-22
Source: CMS NPPES provider record
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 9485 active dentist providers in Texas.

NPI age
8 years
↓ 4 yr below median (12 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2018 → 2019

2018-06Enumerated in NPPES
2018 2019

Where they practice

Practice location
1777 N Record St Apt 2402
Dallas, TX 752021260
📞 8065700488
Mailing address
1777 N Record St Apt 2402
Dallas, TX 752021260

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    TX license #34172 taxonomy 122300000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new dentist providers have been added in Dallas in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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