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DR. ELLISON SMITH DDS
NPI 1720169451
Dentist - General Practice in Atlanta, GA

Active since October 18, 2006
75 MARIETTA ST NW, SUITE 100, ATLANTA, GA 30303(404) 577-0868(404) 577-8096 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ellison Smith Dds NPPES

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

DR. ELLISON SMITH DDS (NPI 1720169451) is an individual general practice provider in Atlanta, Georgia, licensed in Georgia (11169) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1720169451
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ELLISON SMITHCredential: DDS
Location Address75 MARIETTA ST NW, SUITE 100Atlanta, GA 30303-2883
Mailing Address75 Marietta St Nw, Suite 100Atlanta, GA 30303-2883 · (404) 577-0868 · Fax (404) 577-8096
Phone(404) 577-0868
Fax(404) 577-8096
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720169451 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 · 11169
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.
75 MARIETTA ST NW, Atlanta, GA 30303
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Other Identifiers 1

Medicaid00560645BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES 5

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

STANLEY G CARTER DDS
Dentist (General Practice)
75 MARIETTA ST NW, SUITE 100
ATLANTA, GA 30303
Fulton County (404) 577-0868
DR. CHALASANI VENKATADRI DMD
Dentist (General Practice)
75 MARIETTA ST NW, SUITE 100
ATLANTA, GA 30303
Fulton County (404) 577-0868
C S DENTAL
Dentist (General Practice)
75 MARIETTA ST NW, SUITE 100
ATLANTA, GA 30303
Fulton County (404) 577-0868
DR. MANTIQUE JOHNSON D.D.S
Dentist (General Practice)
75 MARIETTA ST NW, SUITE 100
ATLANTA, GA 30303
Fulton County (404) 577-0868
DR. SAMUEL ERIC POINDEXTER D.M.D.
Dentist (General Practice)
75 MARIETTA ST NW, STE. 100
ATLANTA, GA 30303
Fulton County (404) 577-0868

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 Ellison Smith's NPI number?

The NPI number for Ellison Smith is 1720169451. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Ellison Smith located?

Ellison Smith practices at 75 Marietta St NW Suite 100, Atlanta, GA 30303. The listed phone number is (404) 577-0868.

What is Ellison Smith's specialty?

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

What insurance does Ellison Smith accept?

Health plans from Humana list Ellison Smith 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 Ellison Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.