Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ALLEN ELLIS, DDS
Active Sole ProprietorDR. MARK ALLEN ELLIS, DDS is a Pediatric Dentistry healthcare provider located in GREENWOOD, Indiana. NPI 1184719262 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GREENWOOD, IN
Registration Details
- NPI Number
- 1184719262
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.880521915714 yrs)
- Last Updated
- Dec 13, 2018
- License
-
12010547A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
910 AVERITT RDGREENWOOD, IN, 461439540Browse IN providers · Browse ZIP 46143
- Phone
- 3178599450
- Fax
- 3178599475
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in GREENWOOD, IN
| Name | Credential | NPI |
|---|---|---|
| ABIGAIL LENA ROEDERER | DMD | 1073299699 |
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.