COSMETIC AND FAMILY DENTISTRY OF ROSWELL
NPI 1023264322
Dentist in Marietta, GA

Active since August 18, 2008
1611 SANDS PL SE STE 100, MARIETTA, GA 30067(770) 226-0008(770) 226-0700 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cosmetic And Family Dentistry Of Roswell NPPES

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

COSMETIC AND FAMILY DENTISTRY OF ROSWELL (NPI 1023264322) is a healthcare organization registered as a dentist in Marietta, Georgia and active in the NPI registry since August 2008. The organization lists Kenneth Morris Wiggins, Dr./dentist, as its authorized official.

NPPES Registry Identity

NPI1023264322
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOSMETIC AND FAMILY DENTISTRY OF MARIETTA
Location Address1611 SANDS PL SE STE 100Marietta, GA 30067-8704
Mailing AddressPo Box 7718Marietta, GA 30065-1718 · (770) 226-0008 · Fax (770) 226-0700
Fax(770) 226-0700
Organization SubpartYes
Authorized OfficialKenneth Morris WigginsDr./dentist · (770) 226-0008
Enumeration DateAugust 18, 2008
NPI 1023264322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in GA · DN012485 Licensed in GA · DN012484
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1611 SANDS PL SE STE 100, Marietta, GA 30067

Other Names 1

Other NameCosmetic And Family Dentistry Of Roswell

Other Identifiers 2

Medicaid829858019BGA
Medicaid829858019AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Cosmetic And Family Dentistry Of Marietta's NPI number?

The NPI number for Cosmetic And Family Dentistry Of Marietta is 1023264322. It was assigned to this organization in the NPPES registry on August 18, 2008. The provider is also known as Cosmetic And Family Dentistry Of Roswell.

Where is Cosmetic And Family Dentistry Of Marietta located?

Cosmetic And Family Dentistry Of Marietta is located at 1611 Sands Pl SE Ste 100, Marietta, GA 30067. The listed phone number is (770) 226-0008.

What is Cosmetic And Family Dentistry Of Marietta's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Cosmetic And Family Dentistry Of Marietta was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.