Mark A Tallis Dds Apdc
Dental Clinic
5225 O Donovan Drive, Suite 103, Baton Rouge
Louisiana, 70808-4353
225-769-8555 225-766-8579
Maps & DirectionsMark A Tallis Dds Apdc is a Dental Clinic in Baton Rouge, Louisiana. It is located at 5225 O Donovan Drive, Suite 103, Baton Rouge, LA and its contact number is 225-769-8555. The authorized person for Mark A Tallis Dds Apdc is Dr. Mark Anthony Tallis
who is President Of S Corp Dentist Owner of the clinic and their contact number is 225-769-8555. The primary license number for Mark A Tallis Dds Apdc is 4456 (General Practice) in Louisiana.
Mark A Tallis Dds Apdc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Mark A Tallis Dds Apdc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mark A Tallis Dds Apdc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 5225 O Donovan Drive, Suite 103, Baton Rouge,
Louisiana, 70808-4353 |
| Phone: | 225-769-8555 |
| Fax: | 225-766-8579 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mark Anthony Tallis |
| Position: | President Of S Corp Dentist Owner |
| Contact Number: | 225-769-8555 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mark A Tallis Dds Apdc clinic are as mentioned below.
| NPI Number: | 1205978889 |
| NPI Enumeration Date: | 12 Feb, 2007 |
| NPI Last Update On: | 09 Jul, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark A Tallis Dds Apdc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 4456 | Louisiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1844560 | Medicaid | Louisiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mark A Tallis Dds Apdc
5225 O Donovan Drive, Suite 103
Baton Rouge, Louisiana |
| Zip: | 70808-4353 |
| Phone Number: | 225-769-8555 |
| Fax Number: | 225-766-8579 |
Patients can reach Mark A Tallis Dds Apdc at
5225 O Donovan Drive, Suite 103, Baton Rouge, Louisiana or can
call to book an appointment on 225-769-8555.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.