NPI age
1 years
Enumerated 2024-11-18
● Active Type 2 · Organization
Subpart
Providence Dental Spa Of East Cobb, Llc
Providence Dental Spa Of East Cobb, Llc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Director
Last NPPES update
2024-11-18
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
1 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-11Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
670 Johnson Ferry Rd
Marietta, GA 300684627
Mailing address
670 Johnson Ferry Rd
Marietta, GA 300684627
Authorized official
Heather Taylor
Director
📞 4703098888
Individual providers at this organization
1 individual provider on file at this primary practice address.
- David Wang, DMD Dentist NPI 1992937981
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Providence Dental Spa of East Cobb
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Providence Dental Llc.
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