Elyse M. Morceau, DDS, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN012309 Issued in GA

Legal business name

ELYSE M. MORCEAU, DDS, PC

Doing business as

My Kids' Dentists

Practice address

205 Hawkins Store Rd NW
Suite 100
Kennesaw, GA 30144-6215

Phone

(770) 926-3400

Fax

(770) 926-6317

NPI assigned

Jul 24, 2008

Last updated

Jul 1, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Morceau

Title

Cfo, VP

Phone

(770) 926-3400

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• My Kids' Dentists Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elyse M. Morceau, D.D.S.

  • Pediatric Dentistry
  • Kennesaw, GA
  • NPI 1700858032
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341100800000",
    "number": "1164687612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HAWKINS STORE RD NW",
            "address_2": "SUITE 100",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446215",
            "telephone_number": "770-926-3400",
            "fax_number": "770-926-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HAWKINS STORE RD NW",
            "address_2": "SUITE 100",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446215",
            "telephone_number": "770-926-3400",
            "fax_number": "770-926-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSE M. MORCEAU, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2012-07-01",
        "status": "A",
        "authorized_official_last_name": "MORCEAU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO, VP",
        "authorized_official_telephone_number": "770-926-3400"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN008821",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN009268",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000157924B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00896629D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00349423C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Kids' Dentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Rose Elliott, PT, DPT
• Katherine Elizabeth Elliott
• Laura Elliott, NP
• Aleisha Shonte Ellis, LPN
• Doris U Elonu, PMHNP-BC
• Eman Haddad (Atlanta Care Psych LLC)
• Rebecca Emch, PHARMD
• Kelly M Emelianchik-Key, PHD, LPC, NCC
• Kyle John Emer, DMD
• En Casa Rehab LLC

• Pediatric Dentistry in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.