SearchIndiana1223P0221X

Mark Ellis, DDS

NPI 1184719262 · on the registry since 2006 · sole proprietor

Practice

Address
910 Averitt Rd
Greenwood, IN 46143
Phone
(317) 859-9450
Fax
(317) 859-9475
Organisation at this address
Ellis Pediatric Dentistry
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana