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KENNESAW MOUNTAIN DENTAL ASSOCIATES
NPI 1184143059
Dentist - General Practice in Kennesaw, GA

Active since September 12, 2017
1815 OLD 41 HWY, STE 310, KENNESAW, GA 30152(770) 425-4100(770) 425-4111 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kennesaw Mountain Dental Associates NPPES

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

KENNESAW MOUNTAIN DENTAL ASSOCIATES (NPI 1184143059) is a healthcare organization registered as a general practice in Kennesaw, Georgia and active in the NPI registry since September 2017. The organization lists Hamir Contractor, Owner, as its authorized official.

NPPES Registry Identity

NPI1184143059
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNESAW MOUNTAIN DENTAL ASSOCIATES
Location Address1815 OLD 41 HWY, STE 310Kennesaw, GA 30152
Mailing Address1815 Old 41 Hwy, Ste 310Kennesaw, GA 30152 · (770) 425-4100 · Fax (770) 425-4111
Phone(770) 425-4100
Fax(770) 425-4111
Organization SubpartYes
Authorized OfficialHamir ContractorOwner · (770) 425-4100
Enumeration DateSeptember 12, 2017
✔ NPI 1184143059 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 · DN013236
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.
1815 OLD 41 HWY, Kennesaw, GA 30152
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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 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 Kennesaw Mountain Dental Associates's NPI number?

The NPI number for Kennesaw Mountain Dental Associates is 1184143059. It was assigned to this organization in the NPPES registry on September 12, 2017.

Where is Kennesaw Mountain Dental Associates located?

Kennesaw Mountain Dental Associates is located at 1815 Old 41 Hwy Ste 310, Kennesaw, GA 30152. The listed phone number is (770) 425-4100.

What is Kennesaw Mountain Dental Associates'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 Kennesaw Mountain Dental Associates was last updated on September 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.