Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KENNESAW MODERN DENTISTRY, PC
Active
Organization
KENNESAW MODERN DENTISTRY, PC
Active
Other names
Kennesaw Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HOUSTON DMD (OWNER)
(678) 832-0527
Entity
Organization
Contact information
Practice address
1125 ERNEST W BARRETT PKWY NW BLDG 200, KENNESAW, GA 30144-4535
(678) 832-0527
(678) 835-9729
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
04/26/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers