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HALLMARK DENTAL LLC NPI 1003212259


NPI Information

NPI: 1003212259
Provider Name: HALLMARK DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1600 KENNESAW DUE WEST RD NW
305-306
KENNESAW, GA
ZIP 30152
Phone: (678) 355-0222
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HALLMARK DENTAL, LLC is a general practice dentist in Kennesaw, 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. HALLMARK DENTAL, LLC NPI is 1003212259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 KENNESAW DUE WEST RD NW
305-306
KENNESAW, GA
ZIP 30152-301
Phone: (678) 355-0222
Fax: (678) 355-1060

The provider's authorized official is Jeanette M Young .
The authorized official title is Owner/dentist and has the following contact phone number (678) 355-0222.

The enumeration date for this NPI number is 11/17/2014 and was last updated on 11/17/2014.


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 PracticeDN014390GEORGIAYes

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
1003140747AMEDICAIDGEORGIA
21396074589OTHERGEORGIANPPES

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: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.