Dr. Mark Ellis , DDS
Dentist - General Practice • Hines, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Ellis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Ellis, DDS was a registered Dentist - General Practice practicing in Hines, IL. Throughout an active medical career spanning 10 years, Dr. Ellis provided care at the practice location at 5000 S 5TH AVE until profile deactivation on 2017-11-29.
Practice Location & Contact Primary Location
5000 S 5th Ave
Hines, IL 601413030
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Hines, IL
Practicing in Hines, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Kinesiotherapist
Certified Athletic Trainer, RKT
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Social Worker - Clinical
Master of Social Work, Licensed Clinical Social Worker
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Recreation Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 29, 2017
NPI status registered as active in NPPES database
Registered at 5000 S 5TH AVE, HINES, IL 601413030 (Tel: 2488954610)
Registered at PO BOX 84, HINES, IL 601410084
Recorded as MARK ELLIS, D.D.S.
Dentist (License #706212 in MI)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
Po Box 84
Hines, IL 601410084
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