Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennesaw Modern Dentistry, PC

Organization Dentist · NPI 1477200137

Kennesaw Modern Dentistry, PC is a Dentist in Kennesaw, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1125 Ernest W Barrett Pkwy NW Bldg 200
Kennesaw, GA 30144-4535
Phone: (678) 832-0527
Fax: (678) 835-9729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1477200137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Houston — Owner · (678) 832-0527
Other names Kennesaw Modern Dentistry; Kennesaw Modern Dentistry
NPI enumeratedMarch 3, 2022
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

Other providers in Kennesaw