DR. CLARENCE CORNELL KEGLER DDS NPI 1245265503

NPI Information

  • NPI: 1245265503
  • Provider Name: DR. CLARENCE CORNELL KEGLER, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3772 SATELLITE BLVD
    SUITE 103
    DULUTH, GA
    ZIP 30096
  • Phone: (770) 476-9511

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NPI Details

DR. Clarence Cornell Kegler, DDS is a general practice dentist in Duluth, 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. DR. Clarence Cornell Kegler, DDS NPI is 1245265503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3772 SATELLITE BLVD
SUITE 103
DULUTH, GA
ZIP 30096-681
Phone: (770) 476-9511
Fax: (770) 623-1923

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/8/2007.

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 PracticeDN 012376GEORGIAYes

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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