JESSE ELLSWORTH

OAK RIDGE, TN
NPI1043662778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TN  DS10287)
Enumeration Date2016-07-06
Last Update Date2022-08-30
Business Address
JESSE ELLSWORTH DMD
126 E DIVISION RD
OAK RIDGE, TN 37830-6906
Phone number: 865-481-0008
Mailing Address
JESSE ELLSWORTH DMD
1018 GARRISON RIDGE BLVD
KNOXVILLE, TN 37922-5155
Phone number: 801-598-2774