Kennesaw Modern Dentistry - Dental Clinic in Kennesaw, GA

Kennesaw Modern Dentistry is a dental clinic (Dentist) in Kennesaw, Georgia. The current practice location for Kennesaw Modern Dentistry is 1125 Ernest W Barrett Pkwy Nw Bldg 200, Kennesaw, Georgia. For appointments, you can reach them via phone at (678) 832-0527. The mailing address for Kennesaw Modern Dentistry is Po Box 920050, Dallas, Texas and phone number is (714) 845-8500.

Kennesaw Modern Dentistry is licensed to practice in * (Not Available) (license number ) and its NPI number is 1477200137. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (678) 832-0527.

Contact Information

Kennesaw Modern Dentistry
1125 Ernest W Barrett Pkwy Nw Bldg 200
Kennesaw
GA 30144-4535
(678) 832-0527
(678) 835-9729

Dental Care Clinic Profile

Full NameKennesaw Modern Dentistry
SpecialityDentist
Location1125 Ernest W Barrett Pkwy Nw Bldg 200, Kennesaw, Georgia
Authorized Official Name and PositionMichelle Houston (OWNER)
Authorized Official Contact6788320527
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kennesaw Modern Dentistry
Po Box 920050
Dallas
TX 75392-0050

Ph: (714) 845-8500
Kennesaw Modern Dentistry
1125 Ernest W Barrett Pkwy Nw Bldg 200
Kennesaw
GA 30144-4535

Ph: (678) 832-0527

NPI Details:

NPI Number1477200137
Provider Enumeration Date03/03/2022
Last Update Date04/26/2022

Medical Identifiers

Medical identifiers for Kennesaw Modern Dentistry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477200137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist (* (Not Available))Primary

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