Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellis Tooth Fairy PLLC

Organization General Practice Dentistry · NPI 1063251171

Ellis Tooth Fairy PLLC provides General Practice Dentistry in Fort Worth, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2725 Ellis Ave
Fort Worth, TX 76164-7106
Phone: (646) 262-6648
Fax: (646) 262-6648
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1063251171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yuexi Chen — Mananger · (646) 262-6648
Other names Ellis Dental
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address12070 Brownwood Dr, Frisco, TX 75035-8860

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