KENNESAW MOUNTAIN DENTAL ASSOCIATES NPI 1184143059

NPI Information

KENNESAW MOUNTAIN DENTAL ASSOCIATES 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. KENNESAW MOUNTAIN DENTAL ASSOCIATES NPI is 1184143059. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1815 OLD 41 HWY
STE 310
KENNESAW, GA
ZIP 30152
Phone: (770) 425-4100
Fax: (770) 425-4111

The provider's authorized official is Hamir Contractor .
The authorized official title is Owner and has the following contact phone number (770) 425-4100.

The enumeration date for this NPI number is 9/12/2017 and was last updated on 9/12/2017.

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:

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