North Roberts Road Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTH ROBERTS ROAD DENTAL GROUP

Practice address

1301 Shiloh Rd NW
BLD 600 Suite 660
Kennesaw, GA 30144-7147

Phone

(770) 423-9699

Fax

(850) 837-7448

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Venicia Henry

Title

Office Manager

Phone

(770) 423-9699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346389863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW",
            "address_2": "BLD 600 SUITE 660",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447147",
            "telephone_number": "770-423-9699",
            "fax_number": "850-837-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW",
            "address_2": "BLD 600 SUITE 660",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447147",
            "telephone_number": "770-423-9699",
            "fax_number": "850-837-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ROBERTS ROAD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "VENICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-423-9699"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie S Norden, ATC
• Sophia Delorise Norman, LPN 059343
• Patti Normand, OTR
• North Georgia GYN
• North Georgia Recovery Center LLC
• Northland Hearing Center, Inc. (NuEar)
• Northwest Allied Anesthesia Inc
• Northwest Classical Academy
• Northwest Georgia Behavioral Health (Nwgbh)
• Melissa Millsap Norton, CRNA

• General Practice Dentistry in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.