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DR. WADDAH A DIAB DDS
NPI 1609823772
Dentist - Periodontics in Kennesaw, GA

Active since May 27, 2006
3900 FREY RD NW, SUITE 102, KENNESAW, GA 30144(770) 426-1062 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Waddah A Diab Dds NPPES

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

DR. WADDAH A DIAB DDS (NPI 1609823772) is an individual periodontics provider in Kennesaw, Georgia, licensed in Georgia (11344) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1609823772
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. WADDAH A DIABCredential: DDS
Location Address3900 FREY RD NW, SUITE 102Kennesaw, GA 30144-5408
Mailing Address3900 Frey Rd Nw, Suite 102Kennesaw, GA 30144-5408 · (770) 426-1062
Phone(770) 426-1062
Sole ProprietorYes
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609823772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in GA · 11344
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.
3900 FREY RD NW, Kennesaw, GA 30144
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Other Names 1

Professional Name (2)Dr. Wade A Diab Dds

Other Providers at the Same Location NPPES

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

DR. KARYN LYNN STOCKWELL D.M.D.
Dentist (General Practice)
3900 FREY RD NW, SUITE 100
KENNESAW, GA 30144
Cobb County (770) 424-9292

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 Waddah Diab's NPI number?

The NPI number for Waddah Diab is 1609823772. It was assigned to this individual provider in the NPPES registry on May 27, 2006. The provider is also known as Dr. Wade A Diab Dds.

Where is Waddah Diab located?

Waddah Diab practices at 3900 Frey Rd NW Suite 102, Kennesaw, GA 30144. The listed phone number is (770) 426-1062.

What is Waddah Diab'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 Waddah Diab was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.