Wade a Diab DDS PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

WADE A DIAB DDS PC

Practice address

4125 George Busbee Pkwy NW
Kennesaw, GA 30144-7107

Phone

(770) 426-1062

NPI assigned

Sep 7, 2026

Organization subpart

No

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

Authorized official

Name

Michaela Muniz

Title

VP, Payor Relations

Phone

(469) 324-3242

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1215846902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 GEORGE BUSBEE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447107",
            "telephone_number": "770-426-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 GEORGE BUSBEE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447107",
            "telephone_number": "770-426-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE A DIAB DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiep Duy Vo, DMD
• Lan Thanh Vo, DMD
• Vocal Imaging, Inc.
• Voe Consulting LLC
• Brandy Lynn Vonnieda
• Adam Wade
• Daniel Wade
• Mary Celeste Wade, RT
• Jennifer Kristen Wagner-Hitzeman, MD
• Wal-Mart Stores East LP

• Periodontics in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.