| North Roberts Road Dental Group | |
|
1301 Shiloh Rd Nw Bld 600 Suite 660 Kennesaw GA 30144-7147 | |
| (770) 423-9699 | |
| (850) 837-7448 |
| Full Name | North Roberts Road Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 Shiloh Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Venicia Henry (OFFICE MANAGER) |
| Authorized Official Contact | 7704239699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Roberts Road Dental Group 1301 Shiloh Rd Nw Bld 600 Suite 660 Kennesaw GA 30144-7147 Ph: (770) 423-9699 | North Roberts Road Dental Group 1301 Shiloh Rd Nw Bld 600 Suite 660 Kennesaw GA 30144-7147 Ph: (770) 423-9699 |
| NPI Number | 1346389863 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346389863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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