IndividualActive
Manoj Kumar, DDS
NPI 1063149185 · Public Health Dentistry · Dalton, GA
Provider details
- NPI number
- 1063149185
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN122770 (GA)
Specialties & taxonomies
Dental Providers
Practice location
1100 E Walnut Ave
Dalton, GA 30721-4183
Phone: (706) 508-4222
Approximate (ZIP-level) locationGet directions
Mailing address
808 Moss Creek Plantation
Johns Creek, GA 30097-5958
Registry dates
- Enumerated
- 2022-08-08
- Last updated
- 2022-08-08
- Certified
- 2022-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.