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IMAGIX LEGACY PEDIATRICS LLC
NPI 1295109015
Dentist in Kennesaw, GA

Active since November 17, 2015
3903 JILES RD NW, 210, KENNESAW, GA 30144(770) 590-9050 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imagix Legacy Pediatrics Llc NPPES

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

IMAGIX LEGACY PEDIATRICS LLC (NPI 1295109015) is a healthcare organization registered as a dentist in Kennesaw, Georgia and active in the NPI registry since November 2015. The organization lists Crystal Chouinard, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1295109015
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIMAGIX LEGACY PEDIATRICS LLC
Location Address3903 JILES RD NW, 210Kennesaw, GA 30144-4612
Mailing Address3903 Jiles Rd Nw, 210Kennesaw, GA 30144-4612 · (770) 590-9050
Phone(770) 590-9050
Organization SubpartNo
Authorized OfficialCrystal ChouinardCredentialing Specialist · (941) 955-3150
Enumeration DateNovember 17, 2015
✔ NPI 1295109015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
3903 JILES RD NW, Kennesaw, GA 30144
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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

Other Providers at the Same Location NPPES 3

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

ENVISION CHIROPRACTIC
Chiropractor
3903 JILES RD NW, BUILDING 100 SUITE 101
KENNESAW, GA 30144
Cobb County (678) 276-9609
LEGACY ORTHODONTICS II, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
3903 JILES RD NW, #210
KENNESAW, GA 30144
Cobb County (770) 590-9050
LEGACY PEDO LLC
Dentist (Pediatric Dentistry)
3903 JILES RD NW, #210
KENNESAW, GA 30144
Cobb County (770) 590-9050

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 Imagix Legacy Pediatrics LLC's NPI number?

The NPI number for Imagix Legacy Pediatrics LLC is 1295109015. It was assigned to this organization in the NPPES registry on November 17, 2015.

Where is Imagix Legacy Pediatrics LLC located?

Imagix Legacy Pediatrics LLC is located at 3903 Jiles Rd NW 210, Kennesaw, GA 30144. The listed phone number is (770) 590-9050.

What is Imagix Legacy Pediatrics LLC'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 Imagix Legacy Pediatrics LLC was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.