Mark E Ellicson in Scottsdale - General Practice
Mark E Ellicson - NPI 1568664365
Mark E Ellicson is a General Practice in Scottsdale, Arizona. Mark E Ellicson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark E Ellicson is 1568664365. The last update date is 2007-07-08.
Mark E Ellicson's current location address is 33725 N Scottsdale Rd, Scottsdale, Arizona. You can contact this provider via phone number 4805155215. The mailing address for Mark E Ellicson is 33725 N Scottsdale Rd, Scottsdale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark E Ellicson |
|---|---|
| Address | 33725 N Scottsdale Rd, Scottsdale, Arizona |
| Phone Number | 4805155215 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1568664365 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 33725 N Scottsdale Rd |
|---|---|
| City | Scottsdale |
| State | Arizona (AZ) |
| Post Code | 852621560 |
| Phone Number | 4805155215 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4513 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Mark E Ellicson by the Centers for Medicare & Medicaid Services?
The Mark E Ellicson has been assigned the NPI (National Provider Identifier) 1568664365. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark E Ellicson is physically located?
The Mark E Ellicson is physically situated at the following address: 33725 N Scottsdale Rd, Scottsdale, AZ, 852621560.
What is Mark E Ellicson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark E Ellicson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568664365 to Mark E Ellicson?
The Mark E Ellicson received its 1568664365 assignment from the Centers for Medicare & Medicaid Services on 2007-06-04.
As of what date was the information regarding Mark E Ellicson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark E Ellicson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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