Ty Ellsworth, DMD
NPI 1699124123 · on the registry since 2016
Practice
- Address
- 2650 E Show Low Lake Rd Ste 1
Show Low, AZ 85901 - Phone
- (928) 537-4300
- Fax
- (928) 532-6901
- Organisation at this address
- Southwestern Eye Center
North Country Healthcare, Inc.
Arizona Heart Institute Show Low
White Mountain Surgical Specialist
White Mountain Surgical Specialists PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona