KENNESTONE DENTAL DESIGNS LLC NPI 1093019978

NPI Information

  • NPI: 1093019978
  • Provider Name: KENNESTONE DENTAL DESIGNS, LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Former Legal Business Name: DR. BARRY SMITH
  • Address: 709 CANTON RD NE
    SUITE 210
    MARIETTA, GA
    ZIP 30060
  • Phone: (770) 426-4188

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN010518GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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