Individual
DR. MARK ALAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
951 RIVERFRONT PKWY, SUITE 302, CHATTANOOGA, TN 37402-2185
(423) 805-7500
(423) 805-7501
Mailing address
951 RIVERFRONT PKWY, SUITE 302, CHATTANOOGA, TN 37402-2185
(423) 805-7500
(423) 805-7501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9594
TN
1223G0001X
General Practice Dentistry
299697
MS
Other
Enumeration date
09/09/2005
Last updated
03/06/2014
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