Dr. Mark Allen Ellis is a Greenwood, Indiana based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mark Allen Ellis is
12010547A for Pediatric Dentistry in Indiana. His current practice location is
910 Averitt Rd, Greenwood. Patients can reach him at
317-859-9450.
Dr. Mark Allen Ellis provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Mark Allen Ellis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Mark Allen Ellis |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 910 Averitt Rd, Greenwood,
Indiana, 46143-9540 |
| Phone: | 317-859-9450 |
| Fax: | 317-859-9475 |
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 are as mentioned below.
| NPI Number: | 1184719262 |
| NPI Enumeration Date: | 04 Oct, 2006 |
| NPI Last Update On: | 13 Dec, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Allen Ellis are as mentioned below.
| License Number | Specialization | State | Status | |
| 12010547A | Pediatric Dentistry | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark Allen Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200500300 | Medicaid | Indiana | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 910 Averitt Rd,
Greenwood, Indiana |
| Zip: | 46143-9540 |
| Phone Number: | 317-859-9450 |
| Fax Number: | 317-859-9475 |
Patients can reach Dr. Mark Allen Ellis at
910 Averitt Rd, Greenwood, Indiana or can
call to book an appointment on 317-859-9450.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.