DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK A ELLIS, DDS

Active

MARK A ELLIS, DDS is a Dentist healthcare provider located in CASS LAKE, Minnesota. NPI 1154655082 is currently active in the NPPES registry. Verify at CMS.

Dentist · CASS LAKE, MN

Registration Details

NPI Number
1154655082
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2009 (16.901571268774 yrs)
Last Updated
Oct 26, 2009
License
0025030 (TX)

Practice Information

Address
425 7TH ST NW
CASS LAKE, MN, 566333360
Browse MN providers · Browse ZIP 56633
Phone
2183353230
Primary Specialty
Dentist
122300000X

Other Dentist Providers in CASS LAKE, MN

Name Credential NPI
DR. ROBERT MORK DDS 1720189467
MRS. BRANDY LEEANN LARSON DDS 1750450227
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.