Individual provider · Type 1 NPI

David Alan Ellsworth, DDS

General Practice Dentistry · Petoskey, MI

NPI number 1184804221 Active

About NPI 1184804221

David Alan Ellsworth, DDS's National Provider Identifier is 1184804221, issued on Nov 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Petoskey, MI. The record was last updated on Nov 6, 2007.