Kennestone Periodontics Of Marietta, Pc is a Periodontology Clinic in Marietta, Georgia. It is located at 611 Campbell Hill St Nw, Suite 102, Marietta, GA and its contact number is 770-422-0642. The authorized person for Kennestone Periodontics Of Marietta, Pc is Dr. Peter C Shatz
who is President of the clinic and their contact number is 770-422-0642. The primary license number for Kennestone Periodontics Of Marietta, Pc is 10742 (Periodontics) in Georgia. Kennestone Periodontics Of Marietta, Pc Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Kennestone Periodontics Of Marietta, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kennestone Periodontics Of Marietta, Pc
Specialization:
Periodontology
Clinic Address:
611 Campbell Hill St Nw, Suite 102, Marietta, Georgia, 30060-1386
Phone:
770-422-0642
Fax:
770-422-0643
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. Peter C Shatz
Position:
President
Contact Number:
770-422-0642
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 Kennestone Periodontics Of Marietta, Pc clinic are as mentioned below.
NPI Number:
1316243389
NPI Enumeration Date:
08 Feb, 2011
NPI Last Update On:
08 Feb, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kennestone Periodontics Of Marietta, Pc are as mentioned below.
Specialization
License Number
State
Status
Periodontics
10742
Georgia
Primary
Periodontics
11384
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
1982798716
Other
Georgia
Personal Npi Number
1811082183
Other
Georgia
Personal Npi Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kennestone Periodontics Of Marietta, Pc 2070 S Park Pl Se, Suite 200 Atlanta, Georgia
Zip:
30339-2045
Phone Number:
770-952-5432
Fax Number:
770-952-3011
Patients can reach Kennestone Periodontics Of Marietta, Pc at 611 Campbell Hill St Nw, Suite 102, Marietta, Georgia or can call to book an appointment on 770-422-0642. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.