Mark Alan Ellis in Chattanooga - General Practice

Mark Alan Ellis - NPI 1265426894

Mark Alan Ellis is a General Practice in Chattanooga, Tennessee. Mark Alan Ellis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Alan Ellis is 1265426894. The last update date is 2014-03-06.

Mark Alan Ellis's current location address is 951 Riverfront Pkwy, Chattanooga, Tennessee. You can contact this provider via phone number 4238057500 and fax number 4238057501. The mailing address for Mark Alan Ellis is 951 Riverfront Pkwy, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Alan Ellis
Address 951 Riverfront Pkwy, Chattanooga, Tennessee
Phone Number 4238057500
Fax Number 4238057501
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1265426894
Provider Enumeration Date 2005-09-09
Last Updated Date 2014-03-06

Provider Mailing Address Detail

Address 951 Riverfront Pkwy
City Chattanooga
State Tennessee (TN)
Post Code 374022185
Phone Number 4238057500
Fax Number 4238057501

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 299697
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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FAQs about Mark Alan Ellis

What is the unique identification code assigned to Mark Alan Ellis by the Centers for Medicare & Medicaid Services?

The Mark Alan Ellis has been issued the NPI (National Provider Identifier) 1265426894. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Mark Alan Ellis located?

The Mark Alan Ellis is located at 951 Riverfront Pkwy, Chattanooga, TN 374022185.

What is Mark Alan Ellis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Alan Ellis is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1265426894 to Mark Alan Ellis?

The Mark Alan Ellis received its 1265426894 assignment from the Centers for Medicare & Medicaid Services on 2005-09-09.

As of what date were the details related to Mark Alan Ellis most recently updated or revised?

The information pertaining to Mark Alan Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-06.

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