Kent C. Ellington, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012407 Issued in GA

Legal business name

KENT C. ELLINGTON, DMD, PC

Practice address

111 John Maddox Dr NW
Rome, GA 30165-1419

Phone

(706) 235-5899

Fax

(706) 232-8658

NPI assigned

Jul 22, 2006

Last updated

Aug 22, 2020By 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

Ms. Judith A Howard

Title

Office Manager

Phone

(706) 235-5899

Specialties & licenses 1

Addresses

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.

• Kent C Ellington, DMD

  • General Practice Dentistry
  • Rome, GA
  • NPI 1740260090
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649291733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651419",
            "telephone_number": "706-235-5899",
            "fax_number": "706-232-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651419",
            "telephone_number": "706-235-5899",
            "fax_number": "706-232-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT C. ELLINGTON, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-235-5899",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Bridget Curtin Kelley
• Timothy Kelley
• Todd Rufus Kelley, MD
• Mykia A Kelly
• Dillon Kemeness, MD
• Douglas Leroy Kerr, CRNA
• Thomas Howell Kerr
• Dilawar Khan, MD
• Faraad Khan, MD
• Alea Vick Khuong, DPT

• General Practice Dentistry in Rome, GA
• Providers in Rome, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.