# K & N DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215337167
- **Authorized official:** JIM NASIM (OWNER)
- **Authorized official phone:** (864) 576-7169

## Contact information

- **Practice address:** 111 POWELL MILL RD, SPARTANBURG, SC 29301-1590
- **Practice address phone:** (864) 574-0788
- **Practice address fax:** (864) 576-5359
- **Mailing address:** 125 TOWNPARK DR NW, SUITE 180, KENNESAW, GA 30144-5803
- **Mailing address phone:** (404) 410-1343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2014
- **Last updated:** 08/28/2014
