MY KIDS' DENTISTS
NPI 1164687612
Dentist - Pediatric Dentistry in Kennesaw, GA

Active since July 24, 2008
205 HAWKINS STORE RD NW, SUITE 100, KENNESAW, GA 30144(770) 926-3400(770) 926-6317 Get Directions Write a Review

NPPES record last updated: July 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About My Kids' Dentists NPPES

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

MY KIDS' DENTISTS (NPI 1164687612) is a healthcare organization registered as a pediatric dentistry in Kennesaw, Georgia and active in the NPI registry since July 2008. The organization lists Michael Morceau, Cfo, Vp, as its authorized official.

NPPES Registry Identity

NPI1164687612
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameELYSE M. MORCEAU, DDS, PC
Location Address205 HAWKINS STORE RD NW, SUITE 100Kennesaw, GA 30144-6215
Mailing Address205 Hawkins Store Rd Nw, Suite 100Kennesaw, GA 30144-6215 · (770) 926-3400 · Fax (770) 926-6317
Fax(770) 926-6317
Organization SubpartNo
Authorized OfficialMichael MorceauCfo, Vp · (770) 926-3400
Enumeration DateJuly 24, 2008
Last NPPES UpdateJuly 1, 2012
NPI 1164687612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in GA · DN012309 Licensed in GA · DN008821 Licensed in GA · DN009268
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
205 HAWKINS STORE RD NW, Kennesaw, GA 30144

Other Names 1

Doing Business AsMy Kids' Dentists

Other Identifiers 3

Medicaid000157924BGA
Medicaid00349423CGA
Medicaid00896629DGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist (Pediatric Dentistry)
205 HAWKINS STORE RD NW, SUITE A-1
KENNESAW, GA 30144
Dentist (Pediatric Dentistry)
205 HAWKINS STORE RD NW, SUITE 100
KENNESAW, GA 30144
Pediatrics
205 HAWKINS STORE RD NW
KENNESAW, GA 30144
Pediatrics
205 HAWKINS STORE RD NW, SUITE B-1
KENNESAW, GA 30144

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 Elyse M. Morceau, Dds, PC's NPI number?

The NPI number for Elyse M. Morceau, Dds, PC is 1164687612. It was assigned to this organization in the NPPES registry on July 24, 2008. The provider is doing business as My Kids' Dentists.

Where is Elyse M. Morceau, Dds, PC located?

Elyse M. Morceau, Dds, PC is located at 205 Hawkins Store Rd NW Suite 100, Kennesaw, GA 30144. The listed phone number is (770) 926-3400.

What is Elyse M. Morceau, Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Elyse M. Morceau, Dds, PC was last updated on July 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.