Organization
PK DENTAL
Active
Other names
Dental World of Marietta, Dental World
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KAPGAN (OWNER)
(770) 984-9000
Entity
Organization
Contact information
Practice address
1410 TERRELL MILL RD, MARIETTA, GA 30067
(770) 984-9000
(770) 984-9256
Mailing address
1410 TERRELL MILL RD, MARIETTA, GA 30067
(770) 984-9000
(770) 984-9256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
DN013274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
644170460D
DR WILLIAM KAPGAN
GA
01
—
68579198C
DR INESSA PLAVNIK
GA
Enumeration date
11/03/2008
Last updated
02/26/2020
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