Dr. Ellison Smith

DDS | Dentist



  
  75 Marietta St Nw, Suite 100, Atlanta
  Georgia, 30303-2883

  404-577-0868    404-577-8096 Maps & Directions
Dr. Ellison Smith is a Atlanta, Georgia based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ellison Smith is 11169 for General Practice Dentistry in Georgia. His current practice location is 75 Marietta St Nw, Suite 100, Atlanta. Patients can reach him at 404-577-0868.
Dr. Ellison Smith is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ellison Smith speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Dr. Ellison Smith
Specialization: Dentist
Gender:Male
Credentials: DDS
Accepts Medicare Assignment:No
Practice Address:75 Marietta St Nw, Suite 100, Atlanta,
Georgia, 30303-2883
Phone:404-577-0868
Fax:404-577-8096
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1720169451
NPI Enumeration Date: 18 Oct, 2006
NPI Last Update On: 08 Jul, 2007

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ellison Smith are as mentioned below.
License NumberSpecializationStateStatus
11169General Practice Dentistry GeorgiaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ellison Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
00560645BMedicaidGeorgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 75 Marietta St Nw, Suite 100
Atlanta, Georgia
Zip: 30303-2883
Phone Number: 404-577-0868
Fax Number: 404-577-8096
Patients can reach Dr. Ellison Smith at 75 Marietta St Nw, Suite 100, Atlanta, Georgia or can call to book an appointment on 404-577-0868. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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