Individual provider Active NPI

Abbey Marie Elson, DMD

  • Pediatric Dentistry
  • Alpharetta, GA
National Provider Identifier
1760042287
Registry record updated Dec 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN122303 Issued in GA
Practice address
8420 Holcomb Bridge Rd Ste 240
Alpharetta, GA 30022-1836
Phone
(470) 299-0131
Fax
(470) 299-0131
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN122303 GA Primary

Addresses

Primary practice location

8420 Holcomb Bridge Rd Ste 240
Alpharetta, GA 30022-1836

Mailing address

5045 Roxburgh Dr
Roswell, GA 30076-3710
Phone (314) 852-5965

Other practice location 1

205 Waleska Rd Ste 2B
Canton, GA 30114-2493
Phone (770) 479-1717

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

LicenseStateTypeSpecialty
DN122303GAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles for Keeps, LLC Pediatric Dentistry PastSince Sep 3, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703894400000",
    "number": "1760042287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 ROXBURGH DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763710",
            "telephone_number": "314-852-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 HOLCOMB BRIDGE RD STE 240",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221836",
            "telephone_number": "470-299-0131",
            "fax_number": "470-299-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Waleska Rd Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301142493",
            "country_code": "US",
            "telephone_number": "770-479-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSON",
        "first_name": "ABBEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN122303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; 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.