Organization · Type 2 NPI

Marietta Dentist

General Practice Dentistry · Marietta, GA

NPI number 1386589067 Active

About NPI 1386589067

Marietta Dentist's National Provider Identifier is 1386589067, issued on Apr 21, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Marietta, GA. The record was last updated on Apr 21, 2026.