# ELLSWORTHBECKHAM PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLSWORTHBECKHAM PLLC
- **Other names:** OnCall Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871036426
- **Legal business name:** ELLSWORTHBECKHAM PLLC
- **Authorized official:** TY ELLSWORTH (OWNER)
- **Authorized official phone:** (602) 863-7692

## Contact information

- **Practice address:** 5940 W UNION HILLS DR, STE F110, GLENDALE, AZ 85308-1308
- **Practice address phone:** (602) 863-7692
- **Mailing address:** 5940 W UNION HILLS DR, STE F110, GLENDALE, AZ 85308-1308
- **Mailing address phone:** (602) 863-7692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2016
- **Last updated:** 11/30/2016