| Greg Elwell, D.m.d., P.c. | |
|
24 Waleska St Canton GA 30114-2739 | |
| (770) 479-5569 | |
| (770) 479-3492 |
| Full Name | Greg Elwell, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24 Waleska St, Canton, Georgia |
| Authorized Official Name and Position | Greg Elwell (OWNER) |
| Authorized Official Contact | 7704795569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Elwell, D.m.d., P.c. 24 Waleska St Canton GA 30114-2739 Ph: (770) 479-5569 | Greg Elwell, D.m.d., P.c. 24 Waleska St Canton GA 30114-2739 Ph: (770) 479-5569 |
| NPI Number | 1124105507 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124105507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011688 (Georgia) | Primary |
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