| Kent C. Ellington, Dmd, Pc | |
|
111 John Maddox Dr Nw Rome GA 30165-1419 | |
| (706) 235-5899 | |
| (706) 232-8658 |
| Full Name | Kent C. Ellington, Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 John Maddox Dr Nw, Rome, Georgia |
| Authorized Official Name and Position | Judith A Howard (OFFICE MANAGER) |
| Authorized Official Contact | 7062355899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent C. Ellington, Dmd, Pc 111 John Maddox Dr Nw Rome GA 30165-1419 Ph: (706) 235-5899 | Kent C. Ellington, Dmd, Pc 111 John Maddox Dr Nw Rome GA 30165-1419 Ph: (706) 235-5899 |
| NPI Number | 1649291733 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649291733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012407 (Georgia) | Primary |
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