ELIAS HADDAD NPI 1558744912

NPI Information

  • NPI: 1558744912
  • Provider Name: ELIAS HADDAD
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2937 COBB PKWY SE STE 100
    ATLANTA, GA
    ZIP 30339
  • Phone: (770) 240-0328

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NPI Details

Elias Haddad is an endodontics dentist in Atlanta, GA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Elias Haddad NPI is 1558744912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2937 COBB PKWY SE STE 100
ATLANTA, GA
ZIP 30339-519
Phone: (770) 240-0328

The NPI 1558744912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/2/2015 and was last updated on 8/2/2022.

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
1122300000XDentist2901600896MICHIGANNo
2390200000XStudent in an Organized Health Care Education/Training ProgramOHIONo
31223E0200XDentistEndodonticsDN122827GEORGIAYes

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: 11/21/2025

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