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NPI Code Detail

MEDICARE: ELISE L ASHPOLE DMD

MEDICARE: ELISE L ASHPOLE DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN012450GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659322477
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE L ASHPOLE DMD
Provider Business Mailing Address
First Line : 912 HOMEWOOD CT
Second Line :
City : DECATUR
State : GA
Zip : 30033-4203
Country : US
Telephone Number : 404-327-9982
Fax Number :
Provider Business Practice Location Address
First Line : 3807 CLAIRMONT RD
Second Line :
City : CHAMBLEE
State : GA
Zip : 30341-4911
Country : US
Telephone Number : 770-454-1144
Fax Number : 770-452-4468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 07/08/2007

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Directions to “ ELISE L ASHPOLE DMD” Practice Location

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