Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marie Elisabeth Detienne, DMD

Individual provider Dentist · NPI 1134323835

Dr. Marie Elisabeth Detienne, DMD is a Dentist in Madison, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1686 Eatonton Rd
Madison, GA 30650-4628
Phone: (706) 342-0550
Fax: (706) 342-3736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN013560 (GA)

Record details

NPI number1134323835
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 14, 2007
Last updated in NPPESAugust 20, 2010

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