Individual
ISAAC TAYLOR ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 N STONEWALL AVE STE 230, OKLAHOMA CITY, OK 73117-1214
(405) 271-4441
Mailing address
1201 N STONEWALL AVE STE 230, OKLAHOMA CITY, OK 73117-1214
(405) 271-4441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7612
OK
390200000X
Student in an Organized Health Care Education/Training Program
019.033827
IL
Other
Enumeration date
03/15/2022
Last updated
04/08/2025
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