Provider Demographics
NPI:1760042287
Name:ELSON, ABBEY MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:ABBEY
Middle Name:MARIE
Last Name:ELSON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:5045 ROXBURGH DR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-3710
Mailing Address - Country:US
Mailing Address - Phone:314-852-5965
Mailing Address - Fax:
Practice Address - Street 1:8420 HOLCOMB BRIDGE RD STE 240
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1836
Practice Address - Country:US
Practice Address - Phone:470-299-0131
Practice Address - Fax:470-299-0131
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2023-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GADN1223031223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry