Individual provider · Type 1 NPI

Ellison Tippitt, DMD

Dentist · Decatur, IL

NPI number 1174458707 Active

Practice location

2727 N Oakland Ave Ste AND104
Decatur, IL 62526-1586

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.037176 (IL)

Dentist: 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1174458707

Ellison Tippitt, DMD's National Provider Identifier is 1174458707, issued on Jun 15, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Decatur, IL. The record was last updated on Jun 15, 2026.