1. Home
  2. Directory
  3. Louisiana
  4. Baton Rouge
  5. Dentist
  6. NPI Profile

MARK A TALLIS DDS APDC
NPI 1205978889
Dentist - General Practice in Baton Rouge, LA

Active since February 12, 2007
5225 O DONOVAN DRIVE, SUITE 103, BATON ROUGE, LA 70808(225) 769-8555(225) 766-8579 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A Tallis Dds Apdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A TALLIS DDS APDC (NPI 1205978889) is a healthcare organization registered as a general practice in Baton Rouge, Louisiana and active in the NPI registry since February 2007. The organization lists Mark Anthony Tallis, President Of S Corp Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1205978889
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARK A TALLIS DDS APDC
Location Address5225 O DONOVAN DRIVE, SUITE 103Baton Rouge, LA 70808-4353
Mailing Address5225 O Donovan Drive, Suite 103Baton Rouge, LA 70808-4353 · (225) 769-8555 · Fax (225) 766-8579
Phone(225) 769-8555
Fax(225) 766-8579
Organization SubpartNo
Authorized OfficialMark Anthony TallisPresident Of S Corp Dentist Owner · (225) 769-8555
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 9, 2013
✔ NPI 1205978889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 4456
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.
5225 O DONOVAN DRIVE, Baton Rouge, LA 70808
Open in Google Maps ↗

Other Identifiers 1

Medicaid1844560LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark A Tallis Dds Apdc's NPI number?

The NPI number for Mark A Tallis Dds Apdc is 1205978889. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Mark A Tallis Dds Apdc located?

Mark A Tallis Dds Apdc is located at 5225 O Donovan Drive Suite 103, Baton Rouge, LA 70808. The listed phone number is (225) 769-8555.

What is Mark A Tallis Dds Apdc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mark A Tallis Dds Apdc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and UnitedHealthcare list Mark A Tallis Dds Apdc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark A Tallis Dds Apdc was last updated on July 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.