| Kennestone North Dental Associates | |
|
840 Church St Building E Marietta GA 30060 | |
| (770) 422-7673 | |
| (770) 422-1478 |
| Full Name | Kennestone North Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 840 Church St, Marietta, Georgia |
| Authorized Official Name and Position | Steven Dale Adkisson (PRESIDENT) |
| Authorized Official Contact | 7704427673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennestone North Dental Associates 840 Church St Building E Marietta GA 30060 Ph: (770) 422-7673 | Kennestone North Dental Associates 840 Church St Building E Marietta GA 30060 Ph: (770) 422-7673 |
| NPI Number | 1760547772 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760547772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9133 (Georgia) | Primary |
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