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

Kallie Law Brock, DMD

Individual provider General Practice Dentistry · NPI 1447596655

Kallie Law Brock, DMD is a General Practice Dentistry in Canton, Georgia. Licensed in Georgia and South Carolina. Registered with an NPI since 2012.

Licensed in
GA, SC
In the registry since
2012
Specialties on file
2
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

205 Waleska Rd Ste 2A
Canton, GA 30114-2493
Phone: (770) 479-3713
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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 8162 (SC)
Dentist Taxonomy 122300000X · Licence DN014538 (GA)

Record details

NPI number1447596655
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 14, 2012
Last updated in NPPESFebruary 15, 2015

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