Active NPI
John Franklin Elliott, DDS
- Dental Hygienist
- Marietta, GA
National Provider Identifier
1750453320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH004597
- Practice address
- 129 Marble Mill Rd NW
Marietta, GA 30060-1047 - Phone
- (770) 424-4565
- Fax
- (770) 424-4747
- NPI assigned
- Nov 15, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7710 | GA | |
| Dental Hygienist | 124Q00000X | DH003455 | GA | |
| Dental Hygienist | 124Q00000X | DH004597 | GA | Primary |
Addresses
Primary practice location
129 Marble Mill Rd NW
Marietta, GA 30060-1047
Mailing address
129 Marble Mill Rd NW
Marietta, GA 30060-1047
Phone (770) 424-4565
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 |
|---|---|---|---|
| 7710 | GA | MD | Dentist |
| DH003455 | GA | MD | Dental Hygienist |
| DH004597 | GA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennestone Dental Care Center PC | Past | Accepting new patients | |
| Dental Care Center at Kennestone, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Marietta, GA
- NPI 1639322381
-
dba Dental Care Center at Kennestone
- General Practice Dentistry
- Marietta, GA
- NPI 1518335595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1750453320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 MARBLE MILL RD NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601047",
"telephone_number": "770-424-4565",
"fax_number": "770-424-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 MARBLE MILL RD NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601047",
"telephone_number": "770-424-4565",
"fax_number": "770-424-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "JOHN",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "7710",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH003455",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH004597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.