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KENNESTONE DENTAL DESIGNS LLC NPI 1093019978


NPI Information

NPI: 1093019978
Provider Name: KENNESTONE DENTAL DESIGNS, LLC

Former Legal Business Name: DR. BARRY SMITH

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
709 CANTON RD NE
SUITE 210
MARIETTA, GA
ZIP 30060
Phone: (770) 426-4188
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KENNESTONE DENTAL DESIGNS, LLC is a general practice dentist in Marietta, GA. The provider is 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. KENNESTONE DENTAL DESIGNS, LLC NPI is 1093019978. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dr. Barry Smith.

The provider's business location address is:

709 CANTON RD NE
SUITE 210
MARIETTA, GA
ZIP 30060-968
Phone: (770) 426-4188
Fax: (770) 421-8122

The provider's authorized official is Barry P Smith .
The authorized official title is Dentist and has the following contact phone number (770) 426-4188.

The enumeration date for this NPI number is 1/6/2011 and was last updated on 3/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN010518GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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