DR. ERIC ENNUSON DDS
NPI 1104554955
Dentist - General Practice in Atlanta, GA

Active since August 10, 2022
1010 W PEACHTREE ST NW STE C2, ATLANTA, GA 30309(404) 903-2006 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Eric Ennuson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC ENNUSON DDS (NPI 1104554955) is an individual general practice provider in Atlanta, Georgia, licensed in Georgia (DN122834) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1104554955
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ERIC ENNUSONCredential: DDS
Location Address1010 W PEACHTREE ST NW STE C2Atlanta, GA 30309-4859
Mailing Address1010 W Peachtree St Nw Ste C2Atlanta, GA 30309-4859
Sole ProprietorNo
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
NPI 1104554955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN122834
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1010 W PEACHTREE ST NW STE C2, Atlanta, GA 30309

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1010 W PEACHTREE ST NW STE C2
ATLANTA, GA 30309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Ennuson's NPI number?

The NPI number for Eric Ennuson is 1104554955. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Eric Ennuson located?

Eric Ennuson practices at 1010 W Peachtree St NW Ste C2, Atlanta, GA 30309. The listed phone number is (404) 903-2006.

What is Eric Ennuson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Eric Ennuson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 12 other insurers list Eric Ennuson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Ennuson was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.