Active NPI
Children'S Dentistry of West Cobb,LLC
- Pediatric Dentistry
- Kennesaw, GA
National Provider Identifier
1396472676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- CHILDREN'S DENTISTRY OF WEST COBB,LLC
- Practice address
- 5255 Stilesboro Rd NW Ste 110
Kennesaw, GA 30152-7739 - Phone
- (770) 499-2152
- Fax
- (770) 499-2157
- NPI assigned
- Aug 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy D Chandler
- Title
- Office Manager
- Phone
- (770) 499-2152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
5255 Stilesboro Rd NW Ste 110
Kennesaw, GA 30152-7739
Mailing address
5255 Stilesboro Rd NW Ste 110
Kennesaw, GA 30152-7739
Phone (770) 499-2152
National Provider Directory
National Provider DirectoryLocations
5255 Stilesboro Rd NW
Ste 110
Kennesaw, GA 30152
Phone (770) 427-0504
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Kennesaw, GA
- NPI 1124366794
-
- Pediatric Dentistry
- Kennesaw, GA
- NPI 1588949689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659657600000",
"number": "1396472676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 STILESBORO RD NW STE 110",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527739",
"telephone_number": "770-499-2152",
"fax_number": "770-499-2157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 STILESBORO RD NW STE 110",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527739",
"telephone_number": "770-499-2152",
"fax_number": "770-499-2157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S DENTISTRY OF WEST COBB,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-05",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A",
"authorized_official_last_name": "CHANDLER",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-499-2152"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.