Ellington, Janet Susan
Ellington, Janet Susan is an individual health care provider with primary practice located at 125 Eagles Pointe Pkwy Suite 210, Stockbridge GA 30281-6379. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Ellington, Janet Susan can be contacted via phone (770) 507-7282.Contact Information
Primary practice address
125 Eagles Pointe Pkwy Suite 210
Stockbridge GA 30281-6379
Phone: (770) 507-7282
Fax: (770) 692-0651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN010677 | Georgia |
Profile Details
| NPI number | 1548283880 |
|---|---|
| LBN Legal business name | Ellington, Janet Susan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Sep 5th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548283880 | NPPES |
| Georgia | MEDICAID | 000745665A |
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