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

Dr. Jonathan Blair Waldron, DMD

Individual provider Dentist · NPI 1528117223

Dr. Jonathan Blair Waldron, DMD is a Dentist in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2419 Roswell Rd
Marietta, GA 30062-4955
Phone: (770) 977-5547
Fax: (770) 509-2326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12021 (GA)

Record details

NPI number1528117223
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

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