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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.