| Dental Excellence Of Kennesaw | |
|
2750 Watts Dr Nw Kennesaw GA 30144-2721 | |
| (770) 429-0955 | |
| (770) 429-0219 |
| Full Name | Dental Excellence Of Kennesaw |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2750 Watts Dr Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | James Derrick Smith (PRESIDENT) |
| Authorized Official Contact | 7704290955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Excellence Of Kennesaw 2750 Watts Dr Nw Kennesaw GA 30144-2721 Ph: (770) 429-0955 | Dental Excellence Of Kennesaw 2750 Watts Dr Nw Kennesaw GA 30144-2721 Ph: (770) 429-0955 |
| NPI Number | 1710048848 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710048848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN009592 (Georgia) | Primary |
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