MODERN DENTAL CENTER NPI 1093563751

NPI Information

  • NPI: 1093563751
  • Provider Name: MODERN DENTAL CENTER
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 4608 LOWER ROSWELL RD
    MARIETTA, GA
    ZIP 30068
  • Phone: (770) 615-6510

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NPI Details

MODERN DENTAL CENTER is a customized equipment durable medical equipment medical supplies in Marietta, GA. MODERN DENTAL CENTER NPI is 1093563751. The provider is registered as an organization entity type.

The provider's business location address is:

4608 LOWER ROSWELL RD
MARIETTA, GA
ZIP 30068-237
Phone: (770) 615-6510
Fax: (770) 615-6511

The provider's authorized official is Marianna Kovitch .
The authorized official title is Dentist/owner and has the following contact phone number (770) 615-6510.

The enumeration date for this NPI number is 5/8/2024 and was last updated on 9/25/2024.

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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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: 11/21/2025

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