DR. DONALD DOUGLAS DEPEW


Address: 2748 Watts Dr Nw, Kennesaw, GA 30144-2721
Phone: 7704223939

DR. DONALD DOUGLAS DEPEW (NPI# 1548560303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548560303
Entity Type Individual
Full Name DR. DONALD DOUGLAS DEPEW
Credential DMD MS PC
Practice Address 2748 Watts Dr Nw
Kennesaw
GA 30144-2721
Practice Telephone 7704223939
Practice Fax Number 7704225513
Mailing Telephone 7704223939
Mailing Fax Number 7704225513
Enumeration Date 2010-10-27
Last Update Date 2010-10-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
10671 GA Dental Providers

Office Location

Street Address 2748 WATTS DR NW
City KENNESAW
State GA
Zip Code 30144-2721

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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

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NPI Name Taxonomy Address Enumeration
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1245684836 Candace Cronan Dentist 3104 Creekside Village Dr Nw Ste 401, Kennesaw, GA 30144-2393 2016-04-20
1124470257 Orthozone Dentist 3104 Creekside Village Dr Nw, Suite 401, Kennesaw, GA 30144-2324 2016-07-13
1619297025 Legacy Orthodontics II, LLC Dentist 3903 Jiles Rd Nw, #210, Kennesaw, GA 30144-4612 2010-06-08
1508968553 Douglas Alexander Singleton Dentist 3104 Creekside Village Dr Nw, Suite 401, Kennesaw, GA 30144-2324 2006-09-01

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Competitor

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City KENNESAW
Zip Code 30144

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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