Active NPI
Amine Elkhalil, DMD
- Dentist
- Augusta, GA
National Provider Identifier
1700779758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123893
- Practice address
- 3456 Wrightsboro Rd
Augusta, GA 30909-2678 - Phone
- (706) 251-7917
- NPI assigned
- May 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN123893 | GA | Primary |
Addresses
Primary practice location
3456 Wrightsboro Rd
Augusta, GA 30909-2678
Mailing address
1815 Barnes Mill Rd
Marietta, GA 30062-2940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123893 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1700779758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 BARNES MILL RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300622940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3456 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309092678",
"telephone_number": "706-251-7917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKHALIL",
"first_name": "AMINE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-29",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.