Dr. Theodis Elzie is a Smyrna, Georgia based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Theodis Elzie is
010679 for Dentistry in Georgia. His current practice location is
705 Windy Hill Rd Se, Smyrna. Patients can reach him at
770-801-1641.
Dr. Theodis Elzie 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. Theodis Elzie 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. Theodis Elzie |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 705 Windy Hill Rd Se, Smyrna,
Georgia, 30080-1854 |
| Phone: | 770-801-1641 |
| Fax: | 770-801-0587 |
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: | 1164440095 |
| NPI Enumeration Date: | 18 Jul, 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. Theodis Elzie are as mentioned below.
| License Number | Specialization | State | Status | |
| 010679 | Dentistry | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Theodis Elzie such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00867908A | Medicaid | Georgia | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 705 Windy Hill Rd Se,
Smyrna, Georgia |
| Zip: | 30080-1854 |
| Phone Number: | 770-801-1641 |
| Fax Number: | 770-801-0587 |
Patients can reach Dr. Theodis Elzie at
705 Windy Hill Rd Se, Smyrna, Georgia or can
call to book an appointment on 770-801-1641.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.