NPI age
4 years
Enumerated 2022-03-03
● Active Type 2 · Organization
Kennesaw Modern Dentistry, Pc
Kennesaw Modern Dentistry, Pc 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
Houston
Owner
Last NPPES update
2022-04-26
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
4 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-03Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1125 Ernest W Barrett Pkwy Nw Bldg 200
Kennesaw, GA 301444535
Mailing address
Po Box 920050
Dallas, TX 753920050
Authorized official
Michelle Houston, DMD
Owner
📞 6788320527
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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kennesaw Modern Dentistry
-
Kennesaw Modern Dentistry
Practice context
Single-site organization. Only one practice location on file.
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