Dentistry N Orthodontics Kennesaw Point at Lilburn

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTISTRY N ORTHODONTICS KENNESAW POINT AT LILBURN

Practice address

733 Pleasant Hill Rd NW Ste 1202
Lilburn, GA 30047-2988

Phone

(678) 580-3060

Fax

(770) 557-1126

NPI assigned

Jun 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyandukhta KalantariNPI 1780884221

Title

Owner

Phone

(404) 563-6365

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyandukhta B Kalantari, DDS

  • General Practice Dentistry
  • Kennesaw, GA
  • NPI 1780884221
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1043997430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 WOOTEN LAKE RD NW STE 203",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441346",
            "telephone_number": "678-275-2066",
            "fax_number": "678-275-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 PLEASANT HILL RD NW STE 1202",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472988",
            "telephone_number": "678-580-3060",
            "fax_number": "770-557-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY N ORTHODONTICS KENNESAW POINT AT LILBURN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "KALANTARI",
        "authorized_official_first_name": "KYANDUKHTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-563-6365"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Jagolino Dela Cruz-Placer
• Anabel Delgado-Gaono
• Shayna Dennis
• Laura Dennison, MA, CCC-A
• Dental Professionals of Georgia, P.C.
• Jill Nicole Dermyer, PSY.D.
• Jigar Ashok Desai
• Nrupesh Desai
• Jason Scott Devoe, AGNP-C
• Asha S Dickerson, PHD, LPC, NCC, CPCS

• Dental Clinic/Center in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.