Active NPI 1417048976 Individual Practitioner Female Practitioner

Dr. Eltanlia Phillips , DDS

Dentist - General Practice • Newnan, GA

Professional Overview & Biography Verified Profile Summary

Dr. Eltanlia Phillips, DDS is a registered healthcare professional specializing in Dentist - General Practice in Newnan, GA. Practice services are available at 1201 LOWER FAYETTEVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1201 Lower Fayetteville Rd
Suite F

Newnan, GA 302656509

Telephone 7702537800

Fax 7702537644

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Newnan, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

39 Specialists

Practicing in Newnan, GA (3302 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 012468

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

807838815B (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2012

Registered at 1201 LOWER FAYETTEVILLE RD, SUITE F, NEWNAN, GA 302656509 (Tel: 7702537800)

📍

Updated Business Mailing Address June 13, 2012

Registered at 1201 LOWER FAYETTEVILLE RD, SUITE F, NEWNAN, GA 302656507 (Tel: 7702537800)

👤

Provider Name / Credentials Updated June 13, 2012

Recorded as ELTANLIA PHILLIPS, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2012

Dentist (License #012468 in GA)

🟢

Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417048976

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 27, 2006

Last Update: June 13, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1201 Lower Fayetteville Rd, Suite F

Newnan, GA 302656507

Phone: 7702537800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.