Organization
KENNESTONE NORTH DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DALE ADKISSON DMD (PRESIDENT)
(770) 442-7673
Entity
Organization
Contact information
Practice address
840 CHURCH ST, BUILDING E, MARIETTA, GA 30060
(770) 422-7673
(770) 422-1478
Mailing address
840 CHURCH ST, BUILDING E, MARIETTA, GA 30060
(770) 422-7673
(770) 422-1478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9133
GA
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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