| Hallmark Dental, Llc | |
|
1600 Kennesaw Due West Rd Nw 305-306 Kennesaw GA 30152-4301 | |
| (678) 355-0222 | |
| (678) 355-1060 |
| Full Name | Hallmark Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 Kennesaw Due West Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Jeanette M Young (OWNER/DENTIST) |
| Authorized Official Contact | 6783550222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hallmark Dental, Llc 1600 Kennesaw Due West Rd Nw 305-306 Kennesaw GA 30152-4301 Ph: (678) 355-0222 | Hallmark Dental, Llc 1600 Kennesaw Due West Rd Nw 305-306 Kennesaw GA 30152-4301 Ph: (678) 355-0222 |
| NPI Number | 1003212259 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 11/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003212259 | NPI | - | NPPES |
| 003140747A | Medicaid | GA | |
| 1396074589 | Other | GA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN014390 (Georgia) | Primary |
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