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KENNESAW MODERN DENTISTRY
NPI 1477200137
Dentist in Kennesaw, GA

Active since March 03, 2022
1125 ERNEST W BARRETT PKWY NW BLDG 200, KENNESAW, GA 30144(678) 832-0527(678) 835-9729 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2022, Mar 3, 2022 (2 updates tracked since 2022).

About Kennesaw Modern Dentistry NPPES

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

KENNESAW MODERN DENTISTRY (NPI 1477200137) is a healthcare organization registered as a dentist in Kennesaw, Georgia and active in the NPI registry since March 2022. The organization lists Michelle Houston, Owner, as its authorized official.

NPPES Registry Identity

NPI1477200137
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKENNESAW MODERN DENTISTRY, PC
Location Address1125 ERNEST W BARRETT PKWY NW BLDG 200Kennesaw, GA 30144-4535
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8500 · Fax (303) 952-0892
Phone(678) 832-0527
Fax(678) 835-9729
Organization SubpartNo
Authorized OfficialMichelle HoustonOwner · (678) 832-0527
Enumeration DateMarch 3, 2022
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1477200137 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.
1125 ERNEST W BARRETT PKWY NW BLDG 200, Kennesaw, GA 30144
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Other Names 1

Doing Business AsKennesaw Modern Dentistry

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

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 ›

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 Modern Dentistry, PC's NPI number?

The NPI number for Kennesaw Modern Dentistry, PC is 1477200137. It was assigned to this organization in the NPPES registry on March 3, 2022. The provider is doing business as Kennesaw Modern Dentistry.

Where is Kennesaw Modern Dentistry, PC located?

Kennesaw Modern Dentistry, PC is located at 1125 Ernest W Barrett Pkwy NW Bldg 200, Kennesaw, GA 30144. The listed phone number is (678) 832-0527.

What is Kennesaw Modern Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kennesaw Modern Dentistry, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kennesaw Modern Dentistry, PC 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 Kennesaw Modern Dentistry, PC was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.