Kennestone Periodontics Of Marietta, Pc

LBN: Kennestone Periodontics Of Marietta, Pc
Kennestone Periodontics Of Marietta, Pc is an health care organization with primary practice located at 611 Campbell Hill St Nw Suite 102, Marietta GA 30060-1386. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Kennestone Periodontics Of Marietta, Pc can be contacted via phone (770) 422-0642, or through Shatz, Peter C via phone (770) 422-0642.

Contact Information

Primary practice address
611 Campbell Hill St Nw Suite 102 Marietta GA 30060-1386
Phone: (770) 422-0642
Fax: (770) 422-0643
Website:
Map and Directions
Authorized official contact:
Name: Shatz, Peter C Doctor of Dental Surgery (DDS)
Phone: (770) 422-0642

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 11384 Georgia
Dental Providers / Periodontics 1223P0300X 10742 Georgia

Profile Details

NPI number 1316243389
LBN Legal business name Kennestone Periodontics Of Marietta, Pc
DBA Doing business as
Authorized official Shatz, Peter C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2011
Last updated Feb 8th, 2011 - about 13 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 1316243389 NPPES
Georgia Other 1982798716 PERSONAL NPI NUMBER
Georgia Other 1811082183 PERSONAL NPI NUMBER

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