Jennifer Gordon Elzey, D.M.D.
Individual provider Active NPI General Practice Dentistry · Adairsville, GA
NPI 1013074608 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013074608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12033 (GA)
- Practice address
- 101 Eagle LN
Adairsville, GA 30103-2531 - Phone
- (770) 773-9811
- Fax
- (770) 773-3699
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12033 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12033 | GA | Yes |
Addresses
Primary practice location
101 Eagle LN
Adairsville, GA 30103-2531
Mailing address
101 Eagle LN
Adairsville, GA 30103-2531
Phone (770) 773-9811
Other providers in Adairsville, GA
- Julia Danforth
- Angelica B Davis
- Ashleigh Kay Dean
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- Hilary Epps
- Katelynn O'Phallon Fassnacht
- Cory John Ferguson
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- Floyd Healthcare Management, Inc.
All providers in Adairsville, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.