Dentistry At Kennesaw Point

LBN: Dentistry At Kennesaw Point
Dentistry At Kennesaw Point is an health care organization with primary practice located at 1350 Wooten Lake Rd Nw Suite 203, Kennesaw GA 30144-1344. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dentistry At Kennesaw Point can be contacted via phone (678) 275-2066, or through Kalantari, Kyandukhta via phone (678) 275-2066.

Contact Information

Primary practice address
1350 Wooten Lake Rd Nw Suite 203 Kennesaw GA 30144-1344
Fax: (678) 275-2074
Website:
Authorized official contact:
Name: Kalantari, Kyandukhta Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN013605 Georgia

Profile Details

NPI number 1003278904
LBN Legal business name Dentistry At Kennesaw Point
DBA Doing business as
Authorized official Kalantari, Kyandukhta Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2016
Last updated Mar 22nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003278904 NPPES
Georgia MEDICAID 154041182L

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