Kerisa Sue Elloway is a Fortuna, California based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kerisa Sue Elloway is
47254 for Pediatric Dentistry in California. Her current practice location is
1730 Main St, Suite A, Fortuna. Patients can reach her at
707-725-1303.
Kerisa Sue Elloway provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Kerisa Sue Elloway 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: | Kerisa Sue Elloway |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1730 Main St, Suite A, Fortuna,
California, 95540-2451 |
| Phone: | 707-725-1303 |
| Fax: | 707-725-1358 |
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: | 1154452324 |
| NPI Enumeration Date: | 08 Mar, 2007 |
| 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 Kerisa Sue Elloway are as mentioned below.
| License Number | Specialization | State | Status | |
| 47254 | Pediatric Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1730 Main St Ste A,
Fortuna, California |
| Zip: | 95540-2451 |
| Phone Number: | 707-725-1303 |
| Fax Number: | 707-725-1358 |
Patients can reach Kerisa Sue Elloway at
1730 Main St, Suite A, Fortuna, California or can
call to book an appointment on 707-725-1303.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.