Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellis Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1942142286

Ellis Pediatric Dentistry is a Pediatric Dentistry in Greenwood, Indiana. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

910 Averitt Rd
Greenwood, IN 46143-9540
Phone: (317) 859-9450
Fax: (317) 859-9475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1942142286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Ellis — Dentist · (317) 859-9450
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address910 Averitt Rd, Greenwood, IN 46143-9540

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