Individual provider · Type 1 NPI

Stacy Brian Ellison, DMD

General Practice Dentistry · Louisville, KY

NPI number 1093843484 Active

Practice location

2831 S Hurstbourne Pkwy
Louisville, KY 40220-4112

Call (502) 491-0330 Map

Fax (502) 491-7431

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5989 (KY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1093843484

Stacy Brian Ellison, DMD's National Provider Identifier is 1093843484, issued on Feb 28, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Louisville, KY. The record was last updated on Jul 8, 2007.