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PK DENTAL NPI 1164675203


NPI Information

NPI: 1164675203
Provider Name: PK DENTAL

Doing Business As: DENTAL WORLD

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1410 TERRELL MILL RD
MARIETTA, GA
ZIP 30067
Phone: (770) 984-9000
Get Directions

PK DENTAL 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. PK DENTAL NPI is 1164675203. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dental World.

The provider's business location address is:

1410 TERRELL MILL RD
MARIETTA, GA
ZIP 30067
Phone: (770) 984-9000
Fax: (770) 984-9256

The provider's authorized official is William Kapgan .
The authorized official title is Owner and has the following contact phone number (770) 984-9000.

The enumeration date for this NPI number is 11/3/2008 and was last updated on 2/26/2020.


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 PracticeYes
21223S0112XDentistOral and Maxillofacial SurgeryNo
3261QD0000XClinic/CenterDentalDN013274GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1644170460DOTHERGEORGIADR WILLIAM KAPGAN
268579198COTHERGEORGIADR INESSA PLAVNIK

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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