ELYSE M. MORCEAU D.D.S. NPI 1700858032

NPI Information

NPI: 1700858032
Provider Name: ELYSE M. MORCEAU, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
205 HAWKINS STORE RD NW
SUITE 100
KENNESAW, GA
ZIP 30144
Phone: (770) 926-3400
Get Directions

Elyse M. Morceau, D.D.S. is a pediatric dentistry dentist in Kennesaw, GA. The provider is 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. Elyse M. Morceau, D.D.S. NPI is 1700858032. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

205 HAWKINS STORE RD NW
SUITE 100
KENNESAW, GA
ZIP 30144-215
Phone: (770) 926-3400
Fax: (770) 926-6317

The enumeration date for this NPI number is 2/2/2006 and was last updated on 1/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DN012309	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000896629D	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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