Ellsworth, Jesse

Ellsworth, Jesse is an sole proprietor health care provider with primary practice located at 126 E Division Rd , Oak Ridge TN 37830-6906. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ellsworth, Jesse can be contacted via phone (865) 481-0008.

Contact Information

Primary practice address
126 E Division Rd Oak Ridge TN 37830-6906
Phone: (865) 481-0008
Fax: (865) 481-0695
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS10287 Tennessee

Profile Details

NPI number 1043662778
LBN Legal business name Ellsworth, Jesse
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2016
Last updated Aug 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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