JANET SUSAN ELLINGTON DMD NPI 1548283880

NPI Information

NPI: 1548283880
Provider Name: JANET SUSAN ELLINGTON, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
125 EAGLES POINTE PKWY
SUITE 210
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 507-7282
Get Directions

Janet Susan Ellington, DMD is a pediatric dentistry dentist in Stockbridge, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Janet Susan Ellington, DMD NPI is 1548283880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

125 EAGLES POINTE PKWY
SUITE 210
STOCKBRIDGE, GA
ZIP 30281-379
Phone: (770) 507-7282
Fax: (770) 692-0651

The enumeration date for this NPI number is 7/26/2006 and was last updated on 9/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DN010677	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000745665A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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