MEDICARE: ELIZABETH CONSKY DDS

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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN122571	GA

General Provider Information

NPI Number	:	1184044752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CONSKY DDS

Provider Business Mailing Address
First Line	:	5555 PEACHTREE DUNWOODY RD STE G56
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1700
Country	:	US
Telephone Number	:	404-252-5626
Fax Number	:

Provider Business Practice Location Address
First Line	:	5555 PEACHTREE DUNWOODY RD STE G56
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1700
Country	:	US
Telephone Number	:	404-252-5626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2014
Last Update Date	:	11/13/2024

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Directions to “ ELIZABETH CONSKY DDS” Practice Location

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