Individual provider · Type 1 NPI

Larisa Ellis, DDS

General Practice Dentistry · Old Saybrook, CT

NPI number 1881664514 Active

Practice location

263 Main St
Old Saybrook, CT 06475-2326

Call (860) 388-4433 Map

Fax (860) 388-4434

Mailing address

635 Main St, Attn: Credentialing Department
Middletown, CT 06457-2718

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X009502 (CT)

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 1881664514

Larisa Ellis, DDS's National Provider Identifier is 1881664514, issued on Jan 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Old Saybrook, CT. The record was last updated on Jul 13, 2026.