Paige Shone Elliott, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD9935GD Issued in SC

Practice address

105 State Park Rd
Greenville, SC 29609-2914

Phone

(864) 271-1156

NPI assigned

Jun 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1215505102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 KINGSHOUSE CMNS",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227610",
            "telephone_number": "770-633-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STATE PARK RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092914",
            "telephone_number": "864-271-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "PAIGE",
        "middle_name": "SHONE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD9935GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lafitte Eller, MD
• Mitchell F Ellett Jr., DMD
• Dawn Wright Ellington, COTA/L
• Holly Paine Ellingworth, O.T.
• Blair Worthington Elliott, MSP
• Wanda Bacher Elliott, DPT
• Jaime Elyse Elliotte, APRN
• Brittany Pirko Ellis, RN, MSN, FNP-C
• Grace Marie Ellis, OT
• James Madison Ellis, MD

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.