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

Dr. Mark Lance Ethridge, DDS

Individual provider Dentist · NPI 1164513685

Dr. Mark Lance Ethridge, DDS is a Dentist in Richardson, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1101 N Jupiter Rd Ste 109
Richardson, TX 75081-3171
Phone: (972) 669-9060
Fax: (972) 669-4108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 18958 (TX)

Record details

NPI number1164513685
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1101 N Jupiter Rd, Suite 109, Richardson, TX 75081-3171

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