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Provider Profile

Shane L. Ellsworth, DMD

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At a glance

About Dr. Ellsworth

Shane L. Ellsworth, DMD is a general practice dentistry practicing in Mcminnville, OR. This provider record is associated with NPI 1639379522.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

OR licenceAs reported to the NPI registry
No. D9517As reported
NPINational Provider Identifier
1639379522Issued 2007

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Dr. Ellsworth?

Dr. Ellsworth is a dentist in Mcminnville, OR. That is the designation recorded for this NPI in the federal registry, where it is listed as “General Practice Dentistry”.

NPI registry

What is Dr. Ellsworth's address?

Dr. Ellsworth is listed at 704 Ne Evans St, Mcminnville, OR 97128. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Dr. Ellsworth?

The number on file is (503) 472-1404. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Ellsworth's NPI number?

Dr. Ellsworth's National Provider Identifier is 1639379522. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Ellsworth been practicing?

Dr. Ellsworth has 19+ years experience. Registered with an NPI since 2007. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Ellsworth confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Ellsworth. If this is you, claiming it is free.

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