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

Micah Randal Elloway, DDS

Individual provider General Practice Dentistry · NPI 1285310813

Micah Randal Elloway, DDS is a General Practice Dentistry in Covington, Georgia. Works from 2 locations. Licensed in California and Georgia.

Licensed in
CA, GA
In the registry since
2023
Specialties on file
2
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.

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Practice location Address checks out

9164 Dr M L King Jr Ave
Covington, GA 30014-8710
Phone: (770) 784-7030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2426 S Main St, Red Bluff, CA 96080-4337 — (530) 527-6777

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN123691 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 108894 (CA)

Record details

NPI number1285310813
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address2426 S Main St, Red Bluff, CA 96080-4337

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