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ELLIS PEDIATRIC DENTISTRY
NPI 1942142286
Dentist - Pediatric Dentistry in Greenwood, IN

Active since April 07, 2026
910 AVERITT RD, GREENWOOD, IN 46143(317) 859-9450(317) 859-9475 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ellis Pediatric Dentistry NPPES

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

ELLIS PEDIATRIC DENTISTRY (NPI 1942142286) is a healthcare organization registered as a pediatric dentistry in Greenwood, Indiana and active in the NPI registry since April 2026. The organization lists Mark Ellis, Dentist, as its authorized official.

NPPES Registry Identity

NPI1942142286
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameELLIS PEDIATRIC DENTISTRY
Location Address910 AVERITT RDGreenwood, IN 46143-9540
Mailing Address910 Averitt RdGreenwood, IN 46143-9540 · (317) 859-9450 · Fax (317) 859-9475
Phone(317) 859-9450
Fax(317) 859-9475
Organization SubpartNo
Authorized OfficialMark EllisDentist · (317) 859-9450
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1942142286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
910 AVERITT RD, Greenwood, IN 46143
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. MARK ALLEN ELLIS DDS
Dentist (Pediatric Dentistry)
910 AVERITT RD
GREENWOOD, IN 46143
Johnson County (317) 859-9450

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 Ellis Pediatric Dentistry's NPI number?

The NPI number for Ellis Pediatric Dentistry is 1942142286. It was assigned to this organization in the NPPES registry on April 7, 2026.

Where is Ellis Pediatric Dentistry located?

Ellis Pediatric Dentistry is located at 910 Averitt Rd, Greenwood, IN 46143. The listed phone number is (317) 859-9450.

What is Ellis Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Ellis Pediatric Dentistry was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.