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PROVIDENCE DENTAL SPA OF EAST COBB, LLC
NPI 1467277228
Clinic/Center - Dental in Marietta, GA

Active since November 18, 2024
670 JOHNSON FERRY RD, MARIETTA, GA 30068(678) 801-6700 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About PROVIDENCE DENTAL SPA OF EAST COBB, LLC

This page provides the complete NPI Profile along with additional information for Providence Dental Spa Of East Cobb, Llc, a provider established in Marietta, Georgia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1467277228 assigned on November 2024. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Heather Taylor (Director)

NPI
1467277228 Verify this NPI
Provider Name
PROVIDENCE DENTAL SPA OF EAST COBB, LLC
Entity Type
Organization
Location Address
670 JOHNSON FERRY RD MARIETTA, GA 30068
Location Phone
(678) 801-6700
Mailing Address
670 JOHNSON FERRY RD MARIETTA, GA 30068
Mailing Phone
(678) 801-6700
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-18-2024
Last Update Date
11-18-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HEATHER TAYLOR

Authorized Official Title
DIRECTOR
Authorized Official Phone
(470) 309-8888

Reviews for PROVIDENCE DENTAL SPA OF EAST COBB, LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

ENGINEERED SMILES, LLC
Dentist
670 JOHNSON FERRY RD
MARIETTA, GA 30068
Cobb County (678) 801-6700
DR. DAVID CHUN-CHIEH WANG DMD
Dentist (General Practice)
670 JOHNSON FERRY RD
MARIETTA, GA 30068
Cobb County (678) 801-6700

Frequently Asked Questions

What is PROVIDENCE DENTAL SPA OF EAST COBB, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1467277228, enumerated as an "organization" on November 18, 2024.

Where is the provider located?

The provider is located at 670 JOHNSON FERRY RD MARIETTA, GA 30068 and the phone number is (678) 801-6700.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.