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MDG-MARIETTA LLC
NPI 1023829777
Dentist - Pediatric Dentistry in Marietta, GA

Active since January 14, 2025
1070 WOODLAWN DR NE STE 250, MARIETTA, GA 30068(770) 977-8644 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mdg-marietta Llc NPPES

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

MDG-MARIETTA LLC (NPI 1023829777), doing business as Bradberry Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Marietta, Georgia and active in the NPI registry since January 2025. The organization lists Robert Kellen Mcwhorter, Dentist, as its authorized official.

NPPES Registry Identity

NPI1023829777
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMDG-MARIETTA LLC
Location Address1070 WOODLAWN DR NE STE 250Marietta, GA 30068-4291
Mailing Address1070 Woodlawn Dr Ne Ste 250Marietta, GA 30068-4291 · (770) 977-8644
Phone(770) 977-8644
Organization SubpartNo
Authorized OfficialRobert Kellen McwhorterDentist · (770) 977-8644
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1023829777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1070 WOODLAWN DR NE STE 250, Marietta, GA 30068
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Other Names 1

Doing Business AsBradberry Pediatric Dentistry

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

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 Mdg-Marietta LLC's NPI number?

The NPI number for Mdg-Marietta LLC is 1023829777. It was assigned to this organization in the NPPES registry on January 14, 2025. The provider is doing business as Bradberry Pediatric Dentistry.

Where is Mdg-Marietta LLC located?

Mdg-Marietta LLC is located at 1070 Woodlawn Dr NE Ste 250, Marietta, GA 30068. The listed phone number is (770) 977-8644.

What is Mdg-Marietta LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Mdg-Marietta LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.