Individual provider · Type 1 NPI

Kirk A. Sudeall

General Practice Dentistry · Marietta, GA

NPI number 1770636011 Active

Practice location

140 Marble Mill Rd NW Ste B
Marietta, GA 30060-1000

Mailing address

4460 Riders Ridge Trl
Snellville, GA 30039-8580

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X011931 (GA)

General Practice Dentistry: 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.

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About NPI 1770636011

Kirk A. Sudeall's National Provider Identifier is 1770636011, issued on Jan 19, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Marietta, GA. The record was last updated on Jul 8, 2007.