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

Kerisa Sue Elloway, DDS

Individual provider Pediatric Dentistry · NPI 1154452324

Kerisa Sue Elloway, DDS is a Pediatric Dentistry in Fortuna, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1730 Main St Ste A
Fortuna, CA 95540-2451
Phone: (707) 725-1303
Fax: (707) 725-1358
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 47254 (CA)

Record details

NPI number1154452324
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1730 Main St Ste A, Fortuna, CA 95540-2451