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KENIA Y MARMOL MENDOZA
NPI 1205625225
Dentist - General Practice in Macon, GA

Active since May 05, 2025
1536 EISENHOWER PKWY, MACON, GA 31206(305) 450-5432 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, May 5, 2025 (2 updates tracked since 2025).

About Kenia Y Marmol Mendoza NPPES

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

KENIA Y MARMOL MENDOZA (NPI 1205625225) is an individual general practice provider in Macon, Georgia, licensed in Georgia (DN123911) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1205625225
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKENIA Y MARMOL MENDOZA
Location Address1536 EISENHOWER PKWYMacon, GA 31206-3130
Mailing Address1032 Brookford RdMacon, GA 31210-2307 · (305) 450-5432
Phone(305) 450-5432
Sole ProprietorYes
Enumeration DateMay 5, 2025
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1205625225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN123911
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1536 EISENHOWER PKWY, Macon, GA 31206
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

MICHELLE S GWYN
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
EISENHOWER PARKWAY DENTAL GROUP, LLC
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
PHOEBY K LEWIS DMD
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
ANDREA DAVIS WOOD DMD
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
DR. TARA LYNN BROOKS DDS
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
DR. MARTHA LORENA SANCHEZ DMD
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
YOUTH DENTISTRY OF MACON, PC
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333

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 Kenia Marmol Mendoza's NPI number?

The NPI number for Kenia Marmol Mendoza is 1205625225. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Kenia Marmol Mendoza located?

Kenia Marmol Mendoza practices at 1536 Eisenhower Pkwy, Macon, GA 31206. The listed phone number is (305) 450-5432.

What is Kenia Marmol Mendoza's specialty?

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

What insurance does Kenia Marmol Mendoza accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Kenia Marmol Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenia Marmol Mendoza was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.