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

Kennestone Dentist LLC

Organization Dental Clinic/Center · NPI 1811705130

Kennestone Dentist LLC is a Dental Clinic/Center in Marietta, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

598 Nancy St NW Ste 200
Marietta, GA 30060-1375
Phone: (404) 220-7732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1811705130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Praveen Gudipati — Owner/Member · (404) 966-7766
NPI enumeratedDecember 19, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing address598 Nancy St Nw Ste 200, Marietta, GA 30060-1375

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