Ellis, Mark Alan

Ellis, Mark Alan is an individual health care provider with primary practice located at 951 Riverfront Pkwy Suite 302, Chattanooga TN 37402-2185. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Ellis, Mark Alan can be contacted via phone (423) 805-7500.

Contact Information

Primary practice address
951 Riverfront Pkwy Suite 302 Chattanooga TN 37402-2185
Phone: (423) 805-7500
Fax: (423) 805-7501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 299697 Mississippi
Dental Providers / Dentist 122300000X 9594 Tennessee

Profile Details

NPI number 1265426894
LBN Legal business name Ellis, Mark Alan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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