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Marietta Dentist

Dentist, General Practice in Marietta, GA. Organization (NPI-2).

NPI number1386589067
StatusActive
Last updated in NPPESApr 21, 2026

Details

NPI
1386589067
Entity type
Organization (NPI-2)
Legal business name
Marietta Dentist
Organization subpart
No
Enumeration date
Apr 21, 2026
Certification date
Apr 21, 2026
Last updated
Apr 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

278 N Marietta Pkwy Ne
Marietta, GA 30060-1456

Phone 770-565-0764

Mailing address

278 N Marietta Pkwy Ne
Marietta, GA 30060-1456

Authorized official

Danny Nguyen
Dentist
9254576881

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