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

Dr. Kenneth Robert Wyatt, DMD

Individual provider General Practice Dentistry · NPI 1295806461

Dr. Kenneth Robert Wyatt, DMD is a General Practice Dentistry in Cumming, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

285 Elm St Ste 200
Cumming, GA 30040-8233
Phone: (770) 887-2915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 012032 (GA)

Record details

NPI number1295806461
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 10, 2006
Last updated in NPPESJune 11, 2014
Mailing address9020 Champion Ct, Ball Ground, GA 30107-7018

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