NPI age
15 years
Enumerated 2011-02-08
● Active Type 2 · Organization
Kennestone Periodontics Of Marietta, Pc
Kennestone Periodontics Of Marietta, Pc is 1 of 221 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shatz
President
Last NPPES update
2011-02-08
Source: monthly bulk 2026-05
How this organization compares
Across 221 active dentist providers in Georgia.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-02Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
611 Campbell Hill St Nw, Suite 102
Marietta, GA 300601386
Mailing address
2070 S Park Pl Se, Suite 200
Atlanta, GA 303392045
Authorized official
Peter C Shatz, DDS
President
📞 7704220642
Specialties
-
Dentist PrimaryThat 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1982798716 | PERSONAL NPI NUMBER |
| 01 (GA) | 1811082183 | PERSONAL NPI NUMBER |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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