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DENTISTRY AT KENNESAW POINT
NPI 1003278904
Dentist - General Practice in Kennesaw, GA

Active since March 22, 2016
1350 WOOTEN LAKE RD NW, SUITE 203, KENNESAW, GA 30144(678) 275-2066(678) 275-2074 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dentistry At Kennesaw Point NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTISTRY AT KENNESAW POINT (NPI 1003278904) is a healthcare organization registered as a general practice in Kennesaw, Georgia and active in the NPI registry since March 2016. The organization lists Kyandukhta Kalantari, Owner, as its authorized official.

NPPES Registry Identity

NPI1003278904
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTISTRY AT KENNESAW POINT
Location Address1350 WOOTEN LAKE RD NW, SUITE 203Kennesaw, GA 30144-1344
Mailing Address1350 Wooten Lake Rd Nw, Suite 203Kennesaw, GA 30144-1344 · (678) 275-2066 · Fax (678) 275-2074
Phone(678) 275-2066
Fax(678) 275-2074
Organization SubpartNo
Authorized OfficialKyandukhta KalantariOwner · (678) 275-2066
Enumeration DateMarch 22, 2016
✔ NPI 1003278904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN013605
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1350 WOOTEN LAKE RD NW, Kennesaw, GA 30144
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Other Identifiers 1

Medicaid154041182LGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAROLD WENDELL PITTS MD
Specialist
1350 WOOTEN LAKE RD NW, SUITE 101
KENNESAW, GA 30144
Cobb County (770) 432-0494
DR. KYANDUKHTA B KALANTARI DDS
Dentist (General Practice)
1350 WOOTEN LAKE RD NW, SUITE 203
KENNESAW, GA 30144
Cobb County (678) 275-2066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dentistry At Kennesaw Point's NPI number?

The NPI number for Dentistry At Kennesaw Point is 1003278904. It was assigned to this organization in the NPPES registry on March 22, 2016.

Where is Dentistry At Kennesaw Point located?

Dentistry At Kennesaw Point is located at 1350 Wooten Lake Rd NW Suite 203, Kennesaw, GA 30144. The listed phone number is (678) 275-2066.

What is Dentistry At Kennesaw Point's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dentistry At Kennesaw Point was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.