Individual provider Active NPI

Lizzette Garcia Edge, DMD

  • General Practice Dentistry
  • Kennesaw, GA
National Provider Identifier
1952502528
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN010776 Issued in GA
Practice address
3420 Acworth Due West Rd NW Ste a
Kennesaw, GA 30144-2371
Phone
(770) 974-5293
Fax
(770) 974-7285
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN010776 GA Primary

Addresses

Primary practice location

3420 Acworth Due West Rd NW Ste a
Kennesaw, GA 30144-2371

Mailing address

3420 Acworth Due West Rd NW Ste a
Kennesaw, GA 30144-2371
Phone (770) 974-5293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN010776GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Edge Center for Family Dentistry General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1952502528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 ACWORTH DUE WEST RD NW STE A",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442371",
            "telephone_number": "770-974-5293",
            "fax_number": "770-974-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 ACWORTH DUE WEST RD NW STE A",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442371",
            "telephone_number": "770-974-5293",
            "fax_number": "770-974-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "LIZZETTE",
        "middle_name": "GARCIA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010776",
            "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 Sep 27, 2026; 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.