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 Number | Specialization | State | Status | |
| 11169 | General Practice Dentistry | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ellison Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00560645B | Medicaid | Georgia | |
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.