DR. MARK E ELLICSON DMD
NPI 1568664365
Dentist - General Practice in Scottsdale, AZ

Q: What is Mark Ellicson's NPI number?

The NPI number for Mark Ellicson is 1568664365. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Q: What is Mark Ellicson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Ellicson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 04, 2007

33725 N SCOTTSDALE RD, STE101, SCOTTSDALE, AZ 85262(480) 515-5215 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark E Ellicson Dmd NPPES

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

DR. MARK E ELLICSON DMD (NPI 1568664365) is an individual general practice provider in Scottsdale, Arizona, licensed in Arizona (4513) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1568664365

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK E ELLICSONCredential: DMD

Location Address33725 N SCOTTSDALE RD, STE101Scottsdale, AZ 85262-1560

Mailing Address33725 N Scottsdale Rd, Ste101Scottsdale, AZ 85262-1560 · (480) 515-5215

Phone(480) 515-5215

Sole ProprietorYes

Enumeration DateJune 4, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1568664365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AZ · 4513

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.

33725 N SCOTTSDALE RD, Scottsdale, AZ 85262

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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 Ellicson's NPI number?

The NPI number for Mark Ellicson is 1568664365. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Mark Ellicson located?

Mark Ellicson practices at 33725 N Scottsdale Rd Ste101, Scottsdale, AZ 85262. The listed phone number is (480) 515-5215.

What is Mark Ellicson's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Ellicson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.