KENNESAW PEDIATRIC DENTISTRY (NPI# 1942743844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942743844 |
| Entity Type | Organization |
| Organization Name | KENNESAW PEDIATRIC DENTISTRY |
| Practice Address |
600 Chastain Rd Nw Suite 426 Kennesaw GA 30144-3004 |
| Practice Telephone | 7706511000 |
| Mailing Telephone | 7706511000 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |
| Authorized Official Name | DR. VISHANT NATH (DENTIST) |
| Authorized Official Telephone | 7706511000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN013057 | GA | Dental Providers |
| Street Address |
600 CHASTAIN RD NW SUITE 426 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942368923 | Lan Thanh Vo | Dentist | 600 Chastain Rd Nw, Ste 422, Kennesaw, GA 30144-3004 | 2006-12-04 |
| 1043669401 | James Edward Fife | Physical Therapist | 600 Chastain Rd Nw, Ste 428, Kennesaw, GA 30144-3004 | 2016-06-07 |
| 1073969804 | John Andrew Rhinehart | Physical Therapist | 600 Chastain Rd Nw, Ste 428, Kennesaw, GA 30144-3004 | 2016-05-11 |
| 1972962090 | Sarah Grace Feiner | Occupational Therapist | 600 Chastain Rd Nw, Ste 428, Kennesaw, GA 30144-3004 | 2016-02-17 |
| 1770948812 | Karma Prime LLC | Dentist | 600 Chastain Rd Nw, Ste 426 - Iclear Orthodontics, Kennesaw, GA 30144-3004 | 2015-12-16 |
| 1023484821 | Brittany Lysette Steele | Physical Therapist | 600 Chastain Rd Nw, Ste 428, Kennesaw, GA 30144-3004 | 2015-08-15 |
| 1336495456 | Heidi Maria Flint | Specialist/Technologist | 600 Chastain Rd Nw, Ste 428, Kennesaw, GA 30144-3004 | 2012-07-26 |
| 1194009829 | Courtney Anne Silvera | Specialist/Technologist | 600 Chastain Rd Nw, Ste. 428, Kennesaw, GA 30144-3004 | 2011-09-29 |
| 1114116167 | Laser Vision Centers Inc. | Clinic/Center | 600 Chastain Rd Nw, Suite 324, Kennesaw, GA 30144-3020 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646945 | Carolyn S Rude | Dentist | 205 Hawkins Store Road, Suite A-1, Kennesaw, GA 30144 | 2006-02-02 |
| 1700858032 | Elyse M. Morceau | Dentist | 205 Hawkins Store Rd Nw, Suite 100, Kennesaw, GA 30144-6215 | 2006-02-02 |
| 1770948812 | Karma Prime LLC | Dentist | 600 Chastain Rd Nw, Ste 426 - Iclear Orthodontics, Kennesaw, GA 30144-3004 | 2015-12-16 |
| 1184993933 | Chandler & Associates Dental Management, Inc. | Dentist | 5255 Stilesboro Rd Nw, Ste 110, Kennesaw, GA 30152-7737 | 2011-12-23 |
| 1588949689 | Anjali Williamson | Dentist | 5255 Stilesboro Rd Nw, Suite 110, Kennesaw, GA 30152-7737 | 2011-10-20 |
| 1871813295 | Legacy Pedo LLC | Dentist | 3903 Jiles Rd Nw, #210, Kennesaw, GA 30144-4612 | 2010-06-08 |
| 1164687612 | Elyse M. Morceau, Dds, PC | Dentist | 205 Hawkins Store Rd Nw, Suite 100, Kennesaw, GA 30144-6215 | 2008-07-24 |
| 1053464800 | Linda Wolf | Dentist | 205 Hawkins Store Rd Nw, Suite A-1, Kennesaw, GA 30144-6204 | 2007-01-18 |
| 1740252097 | Rochelle Lopyan | Dentist | 205 Hawkins Store Road, Suite A-1, Kennesaw, GA 30144 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895002 | Ashley Starnesdmd LLC | Dentist | 5482 Chamblee Dunwoody Rd Ste 9, Dunwoody, GA 30338-4142 | 2020-09-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1366060618 | A Dental Home 4 Kidz | Dentist | 155 Carnegie Pl Ste 201, Fayetteville, GA 30214-3981 | 2020-07-13 |
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1629619200 | Peachtree Hills Pediatric Dentistry | Dentist | 2385 Peachtree Rd Ne Ste A2ab, Atlanta, GA 30305-4139 | 2019-10-04 |
| 1871145557 | Dogwood Pediatric Dentistry of Statesboro, LLC | Dentist | 123 Hill Pond Ln, Statesboro, GA 30458-0872 | 2019-07-12 |
| 1952969396 | Ns3 Services, LLC | Dentist | 1039 Grant St Se Ste B11, Atlanta, GA 30315-2050 | 2019-05-31 |
| 1871050872 | Warner Robins Pediatric Dentistry LLC | Dentist | 102 S Houston Rd, Warner Robins, GA 31088-3904 | 2019-02-26 |
| 1730646886 | Smiles for Kids Norcross PC | Dentist | 3953 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-5201 | 2019-02-25 |
| 1073083127 | Pediatric Dentistry of Central Georgia - Macon LLC | Dentist | 5437 Bowman Rd Ste 300, Macon, GA 31210-6575 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
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| 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.