NPI age
17 years
Enumerated 2008-08-18
● Active Type 2 · Organization
Subpart
Cosmetic And Family Dentistry Of Marietta
Cosmetic And Family Dentistry Of Marietta is 1 of 2660 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wiggins
Dr./dentist
Last NPPES update
2008-08-18
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
17 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-08Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1611 Sands Pl Se Ste 100
Marietta, GA 300678704
Mailing address
Po Box 7718
Marietta, GA 300651718
Authorized official
Kenneth Morris Wiggins, DDS
Dr./dentist
📞 7702260008
Specialties
-
Dentist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 829858019A | |
| 05 (GA) | 829858019B |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Cosmetic and Family Dentistry of Roswell
Practice context
Single-site organization. Only one practice location on file.
Subpart of Cosmetic And Family Dentistry Of Marietta.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.