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Ellison Tippitt, DMD

General Dentistry · Decatur, IL

UnclaimedDMDNPI 1174458707
Primary taxonomy
122300000X
Enumerated
2026-06-15
Practice location
Decatur, IL
Last NPPES update
2026-06-15

State licenses

  • IL · Dentist · LICENSED DENTISTActivethrough 2027

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.