P Praxis·MD
● Active Type 2 · Organization

Elyse M. Morceau, Dds, Pc

Dentist·Kennesaw, GA· NPI 1164687612 · Enumerated 2008 · 17 years on NPI
Elyse M. Morceau, Dds, Pc is 1 of 539 dentist organizations in Georgia.
NPI age
17 years
Enumerated 2008-07-24
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Morceau
Cfo, Vp
Last NPPES update
2012-07-01
Source: monthly bulk 2026-05

How this organization compares

Across 539 active dentist providers in Georgia.

NPI age
17 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
205 Hawkins Store Rd Nw, Suite 100
Kennesaw, GA 301446215
📞 7709263400fax 7709266317
Mailing address
205 Hawkins Store Rd Nw, Suite 100
Kennesaw, GA 301446215
📞 7709263400fax 7709266317

Authorized official

Michael Morceau
Cfo, Vp
📞 7709263400

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    GA license #DN012309GA license #DN008821GA license #DN009268 taxonomy 1223P0221X

Identifiers

TypeValueNotes
05 (GA) 00349423C
05 (GA) 00896629D
05 (GA) 000157924B

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • My Kids' Dentists
    Type code 3 recorded 2012-07-01

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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