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

Dr. Mark E Ellicson, DMD

Individual provider General Practice Dentistry · NPI 1568664365

Dr. Mark E Ellicson, DMD is a General Practice Dentistry in Scottsdale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

33725 N Scottsdale Rd STE101
Scottsdale, AZ 85262-1560
Phone: (480) 515-5215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4513 (AZ)

Record details

NPI number1568664365
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 4, 2007
Last updated in NPPESJuly 8, 2007

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