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DR. MARK ANTHONY TALLIS D.D.S.
NPI 1679936447
Dentist - General Practice in Baton Rouge, LA

Active since March 30, 2016
5225 ODONOVAN DR, SUITE 103, BATON ROUGE, LA 70808(225) 769-8555(225) 766-8579 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Anthony Tallis D.d.s. NPPES

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

DR. MARK ANTHONY TALLIS D.D.S. (NPI 1679936447) is an individual general practice provider in Baton Rouge, Louisiana, licensed in Louisiana (4456) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1679936447
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK ANTHONY TALLISCredential: D.D.S.
Location Address5225 ODONOVAN DR, SUITE 103Baton Rouge, LA 70808-7202
Mailing Address5225 Odonovan Dr, Suite 103Baton Rouge, LA 70808-7202 · (225) 769-8555 · Fax (225) 766-8579
Phone(225) 769-8555
Fax(225) 766-8579
Sole ProprietorYes
Enumeration DateMarch 30, 2016
✔ NPI 1679936447 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 ODONOVAN DR, Baton Rouge, LA 70808
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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 ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHEUMATOLOGY ASSOCIATES, L.L.C.
Internal Medicine (Rheumatology)
5225 ODONOVAN DR, STE 102
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 636-5836
INFUSION PARTNERS, LLC
Pharmacy (Home Infusion Therapy Pharmacy)
5225 ODONOVAN DR, SUITE 101
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 761-8700

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 Tallis's NPI number?

The NPI number for Mark Tallis is 1679936447. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Mark Tallis located?

Mark Tallis practices at 5225 Odonovan Dr Suite 103, Baton Rouge, LA 70808. The listed phone number is (225) 769-8555.

What is Mark Tallis's specialty?

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

What insurance does Mark Tallis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Alabama and 7 other insurers list Mark Tallis 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 Tallis was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.