Ashpole, Elise L

Ashpole, Elise L is an individual health care provider with primary practice located at 3807 Clairmont Rd , Chamblee GA 30341-4911. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ashpole, Elise L can be contacted via phone (770) 454-1144.

Contact Information

Primary practice address
3807 Clairmont Rd Chamblee GA 30341-4911
Fax: (770) 452-4468
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012450 Georgia

Profile Details

NPI number 1659322477
LBN Legal business name Ashpole, Elise L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659322477 NPPES
Georgia MEDICAID 00981736A

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