Individual provider · Type 1 NPI
Mark Allen Ellis, DDS
Pediatric Dentistry · Greenwood, IN
NPI number
1184719262
Active
Practice location
910 Averitt Rd
Greenwood, IN 46143-9540
Fax (317) 859-9475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 12010547A (IN) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Greenwood
About NPI 1184719262
Mark Allen Ellis, DDS's National Provider Identifier is 1184719262, issued on Oct 4, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Greenwood, IN. The record was last updated on Dec 13, 2018.