Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WADE A DIAB DDS PC
NPI 1215846902
Dentist - Periodontics in Kennesaw, GA

Active since September 07, 2026
4125 GEORGE BUSBEE PKWY NW, KENNESAW, GA 30144(770) 426-1062 Get Directions Write a Review

NPPES record added: September 7, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Wade A Diab Dds Pc NPPES

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

WADE A DIAB DDS PC (NPI 1215846902) is a healthcare organization registered as a periodontics in Kennesaw, Georgia and active in the NPI registry since September 2026. The organization lists Michaela Muniz, Vp, Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1215846902
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWADE A DIAB DDS PC
Location Address4125 GEORGE BUSBEE PKWY NWKennesaw, GA 30144-7107
Mailing Address4125 George Busbee Pkwy NwKennesaw, GA 30144-7107 · (770) 426-1062
Organization SubpartNo
Authorized OfficialMichaela MunizVp, Payor Relations · (469) 324-3242
Enumeration DateSeptember 7, 2026
NPPES CertifiedSeptember 7, 2026
NPI 1215846902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4125 GEORGE BUSBEE PKWY NW, Kennesaw, GA 30144

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

Other Providers at the Same Location NPPES

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

Dentist (Periodontics)
4125 GEORGE BUSBEE PKWY NW
KENNESAW, GA 30144

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 Wade A Diab Dds PC's NPI number?

The NPI number for Wade A Diab Dds PC is 1215846902. It was assigned to this organization in the NPPES registry on September 7, 2026.

Where is Wade A Diab Dds PC located?

Wade A Diab Dds PC is located at 4125 George Busbee Pkwy NW, Kennesaw, GA 30144. The listed phone number is (770) 426-1062.

What is Wade A Diab Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Wade A Diab Dds PC was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.