MRS. ERIN LYNN ELLIS (NPI# 1487887097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487887097 |
| Entity Type | Individual |
| Full Name | MRS. ERIN LYNN ELLIS |
| Credential | DENTAL ASSISTANT |
| Practice Address |
805 Canton Road Ste D Marietta GA 30060-0000 |
| Mailing Address |
112 David Ct Hiram GA 30141-5615 |
| Practice Telephone | 7704228264 |
| Practice Fax Number | 7704224015 |
| Mailing Telephone | 7709497793 |
| Mailing Fax Number | 7704224015 |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2010-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710169305 | Erin Ellis | Occupational Therapist | 104 Harrington Ave, Shrewsbury, MA 01545-5248 | 2007-12-05 |
| 1154512085 | Erin Ellis | Adult Companion | 5270 N Williams Ave, Portland, OR 97217-2736 | 2007-08-06 |
| 1548221583 | Erin Ray Ann Ellis | Nurse Practitioner | 7040 Smoke Ranch Rd, Las Vegas, NV 89128-8607 | 2006-03-29 |
| 1164035150 | Erin Margaret Ellis | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2020-08-28 |
| 1548892474 | Erin Kathleen Ellis | Family Medicine | 747 S Hill St, Griffin, GA 30224-4830 | 2020-02-09 |
| 1063916104 | Erin Brett Ellis | Naturopath | 8962 E Desert Cove Ave Ste 110, Scottsdale, AZ 85260-6984 | 2018-03-22 |
| 1013360825 | Erin Victoria Ellis | Physical Therapist | 380 Colonial Dr, Bidwell, OH 45614-9215 | 2016-07-16 |
| 1619373552 | Erin Marie Ellis | Speech-Language Pathologist | 2907 Williamson County Pkwy, Marion, IL 62959-5256 | 2014-11-04 |
| 1366883795 | Erin L Ellis | Dentist | 230 N Eastown Rd, Lima, OH 45807-2211 | 2013-07-15 |
| 1932445822 | Erin Janine Ellis | Behavioral Analyst | 3003 Northup Way, Suite 200, Bellevue, WA 98004-1471 | 2012-12-20 |
| Street Address |
805 CANTON ROAD STE D |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912342122 | Healthy Smiles of East Cobb | Dental Assistant | 1505 Johnson Ferry Rd, Marietta, GA 30062-9110 | 2013-05-01 |
| 1376798272 | Jennifer Louise Billingsley | Dental Assistant | 1121 Johnson Ferry Rd, Suite 320, Marietta, GA 30068-5425 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629521828 | Carmen I Gaybort | Dental Assistant | 1456 Sheridan Pt, Hinesville, GA 31313-9198 | 2016-07-25 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.