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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kenneth Clay Ellis Jr., DMD, LLC

General Practice Dentistry in Gadsden, AL · enumerated 2006 · practices at K. Clay Ellis, Jr., Dmd, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639278039

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Registry record

Entity type Individual (Type 1)
Name Dr. Kenneth Clay Ellis Jr.
Credential DMD, LLC
Sex Male
Practice address Gadsden, AL, 35901
Phone (256) 543-1285
Fax (256) 543-1719
Enumeration date Sep 22, 2006
Last updated in NPPES Jun 14, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 3842 (AL) Primary
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

Other identifiers

Identifier Type State Issuer
008303580 Medicaid AL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kenneth Ellis practice?
The practice location on file with NPPES is in Gadsden, AL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kenneth Ellis?
The National Provider Identifier (NPI) for Kenneth Ellis is 1639278039, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-14.