MEDICARE: MARK A. ELLIS, DMD, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	9594	TN

General Provider Information

NPI Number	:	1538585161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK A. ELLIS, DMD, PLLC

Provider Business Mailing Address
First Line	:	951 RIVERFRONT PKWY
Second Line	:	SUITE 302
City	:	CHATTANOOGA
State	:	TN
Zip	:	37402-2185
Country	:	US
Telephone Number	:	423-805-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	951 RIVERFRONT PKWY
Second Line	:	SUITE 302
City	:	CHATTANOOGA
State	:	TN
Zip	:	37402-2185
Country	:	US
Telephone Number	:	423-805-7500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARK ELLIS
Credential	:	DMD
Telephone Number	:	423-805-7500

Provider Enumeration Date	:	03/06/2014
Last Update Date	:	03/06/2014

Similar Medicare Providers

1265426894 — DR. MARK ALAN ELLIS D.M.D.
Practice Location Address:

951 RIVERFRONT PKWY , SUITE 302
CHATTANOOGA, TN
37402-2185

Practice Phone: 423-805-7500
Practice Fax: 423-805-7501

1063562460 — CHATTANOOGA PERIODONTICS & DENTAL IMPLANTS, PC
Practice Location Address:

951 RIVERFRONT PKWY , STE 102
CHATTANOOGA, TN
37402-2185

Practice Phone: 423-756-2450
Practice Fax: 423-756-5451

1942510979 — MCDANIEL ORTHODONTICS, P.C.
Practice Location Address:

951 RIVERFRONT PKWY , SUITE 202
CHATTANOOGA, TN
37402-2185

Practice Phone: 423-266-8614
Practice Fax: 423-265-0429

1891042461 — ELIZABETH FELTS RANDALL D.M.D.
Practice Location Address:

951 RIVERFRONT PKWY , SUITE 102
CHATTANOOGA, TN
37402-2185

Practice Phone: 423-756-2450
Practice Fax: 423-756-5451

1336596196 — CLARK DENTAL STUDIO, PLLC
Practice Location Address:

951 RIVERFRONT PKWY , #303
CHATTANOOGA, TN
37402-2185

Practice Phone: 423-266-7927
Practice Fax:

1083134977 — DR. EVAN SCOTT MYERS DDS
Practice Location Address:

951 RIVERFRONT PKWY STE 101
CHATTANOOGA, TN
37402-2185

Practice Phone: 423-756-0122
Practice Fax:

Directions to “MARK A. ELLIS, DMD, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.