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

Marisa Elliott, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740980507

Marisa Elliott, DMD is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
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

1430 John Wesley Gilbert Dr
Augusta, GA 30912-0001
Phone: (706) 721-2441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence DN123146 (GA)

Record details

NPI number1740980507
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESDecember 16, 2023
Certification dateDecember 16, 2023
Mailing address1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001

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