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:
Authorized official contact:
Name: Shatz, Peter C Doctor of Dental Surgery (DDS)
Phone: (770) 422-0642
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316243389 | NPPES |
| Georgia | Other | 1982798716 | PERSONAL NPI NUMBER |
| Georgia | Other | 1811082183 | PERSONAL NPI NUMBER |
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