Cosmetic And Family Dentistry Of Marietta
Dental Clinic
1611 Sands Pl Se Ste 100, Marietta
Georgia, 30067-8704
770-226-0008 770-226-0700
Maps & DirectionsCosmetic And Family Dentistry Of Marietta is a Dental Clinic in Marietta, Georgia. This organization is also known as sub part of Cosmetic And Family Dentistry Of Marietta. It is located at 1611 Sands Pl Se Ste 100, Marietta, GA and its contact number is 770-226-0008. The authorized person for Cosmetic And Family Dentistry Of Marietta is Dr. Kenneth Morris Wiggins Jr.
who is Dr./dentist of the clinic and their contact number is 770-226-0008. The primary license number for Cosmetic And Family Dentistry Of Marietta is DN012485 (Dentist) in Georgia.
Cosmetic And Family Dentistry Of Marietta Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Cosmetic And Family Dentistry Of Marietta Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Cosmetic And Family Dentistry Of Marietta |
| Specialization: | Dentistry |
| Clinic Address: | 1611 Sands Pl Se Ste 100, Marietta,
Georgia, 30067-8704 |
| Phone: | 770-226-0008 |
| Fax: | 770-226-0700 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Kenneth Morris Wiggins Jr. |
| Position: | Dr./dentist |
| Contact Number: | 770-226-0008 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Cosmetic And Family Dentistry Of Marietta clinic are as mentioned below.
| NPI Number: | 1023264322 |
| Parent Organization: | Cosmetic And Family Dentistry Of Marietta |
| NPI Enumeration Date: | 18 Aug, 2008 |
| NPI Last Update On: | 18 Aug, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cosmetic And Family Dentistry Of Marietta are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | DN012485 | Georgia | Primary | |
| Dentist | DN012484 | Georgia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 829858019A | Medicaid | Georgia | |
| 829858019B | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Cosmetic And Family Dentistry Of Marietta
Po Box 7718,
Marietta, Georgia |
| Zip: | 30065-1718 |
| Phone Number: | 770-226-0008 |
| Fax Number: | 770-226-0700 |
Patients can reach Cosmetic And Family Dentistry Of Marietta at
1611 Sands Pl Se Ste 100, Marietta, Georgia or can
call to book an appointment on 770-226-0008.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.