| Kennestone Dental Designs, Llc | |
|
709 Canton Rd Ne Suite 210 Marietta GA 30060-8968 | |
| (770) 426-4188 | |
| (770) 421-8122 |
| Full Name | Kennestone Dental Designs, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 709 Canton Rd Ne, Marietta, Georgia |
| Authorized Official Name and Position | Barry P Smith (DENTIST) |
| Authorized Official Contact | 7704264188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennestone Dental Designs, Llc 709 Canton Rd Ne Suite 210 Marietta GA 30060-8968 Ph: (770) 426-4188 | Kennestone Dental Designs, Llc 709 Canton Rd Ne Suite 210 Marietta GA 30060-8968 Ph: (770) 426-4188 |
| NPI Number | 1093019978 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093019978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN010518 (Georgia) | Primary |
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