Organization · Type 2 NPI
Kennestone Periodontics of Marietta, PC
Periodontics · Marietta, GA
NPI number
1316243389
Active
Practice location
611 Campbell Hill St NW, Suite 102
Marietta, GA 30060-1386
Fax (770) 422-0643
Mailing address
2070 S Park Pl SE, Suite 200
Atlanta, GA 30339-2045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | 11384 (GA) |
| Periodontics Primary | 1223P0300X | 10742 (GA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Marietta
About NPI 1316243389
Kennestone Periodontics of Marietta, PC's National Provider Identifier is 1316243389, issued on Feb 8, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Marietta, GA. The record was last updated on Feb 8, 2011.