1. Home
  2. Directory
  3. Georgia
  4. Loganville
  5. Dentist
  6. NPI Profile

KOTZQUALITYDENTAL LLC
NPI 1881372613
Dentist - General Practice in Loganville, GA

Active since July 11, 2023
4112 ATLANTA HWY STE 100, LOGANVILLE, GA 30052(470) 385-3595 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kotzqualitydental Llc NPPES

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

KOTZQUALITYDENTAL LLC (NPI 1881372613) is a healthcare organization registered as a general practice in Loganville, Georgia and active in the NPI registry since July 2023. The organization lists Michelle Jacomino-barnes, Director Credentialing & Enrollment, as its authorized official.

NPPES Registry Identity

NPI1881372613
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKOTZQUALITYDENTAL LLC
Location Address4112 ATLANTA HWY STE 100Loganville, GA 30052-4930
Mailing AddressPo Box 70887Cleveland, OH 44190-0887
Phone(470) 385-3595
Organization SubpartNo
Authorized OfficialMichelle Jacomino-barnesDirector Credentialing & Enrollment · (813) 270-9497
Enumeration DateJuly 11, 2023
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1881372613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4112 ATLANTA HWY STE 100, Loganville, GA 30052
Open in Google Maps ↗

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 MULTIPLE SINGLE 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 Kotzqualitydental LLC's NPI number?

The NPI number for Kotzqualitydental LLC is 1881372613. It was assigned to this organization in the NPPES registry on July 11, 2023.

Where is Kotzqualitydental LLC located?

Kotzqualitydental LLC is located at 4112 Atlanta Hwy Ste 100, Loganville, GA 30052. The listed phone number is (470) 385-3595.

What is Kotzqualitydental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kotzqualitydental LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Kotzqualitydental LLC 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 Kotzqualitydental LLC was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.