NPI 1124105507

Greg Elwell, D.M.D., P.C.

Organisation General Practice Dentistry Canton, GA

Practice location

Address: 24 Waleska St, Canton, GA 30114-2739
Phone: (770) 479-5569
Fax: (770) 479-3492

Authorised official

Name: Greg Elwell
Title: Owner
Phone: (770) 479-5569

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN011688 (GA)

Other Dentist providers in Georgia →

Registry record

NPI: 1124105507
Entity type: Organization
NPI issued: 1 Nov 2006
Record last updated: 10 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.