Jetoria Irving
NPI 1437636321 · General Practice Dentistry · Kennesaw, GA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jetoria Irving is a General Practice Dentistry provider in Kennesaw, GA (NPI 1437636321).
Provider details
- NPI number
- 1437636321
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DN015711 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 805 Glynn St S Ste 131Fayetteville, GA 30214-2010Phone: (770) 460-6651
- 4146 Highway 42Locust Grove, GA 30248-4106Phone: (770) 898-8872
Registry dates
- Enumerated
- 2018-07-24
- Last updated
- 2018-09-24
Frequently asked questions
- What is Jetoria Irving's NPI number?
- Jetoria Irving's National Provider Identifier (NPI) is 1437636321, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jetoria Irving's specialty?
- Jetoria Irving is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jetoria Irving located?
- Jetoria Irving's practice location on file with NPPES is 1200 Ernest W Barrett Pkwy Nw Ste 200, Kennesaw, GA 30144-4513.
- What is Jetoria Irving's phone number?
- The practice phone number listed in the NPPES registry for Jetoria Irving is (678) 805-8057.
- Does Jetoria Irving accept Medicare?
- Jetoria Irving is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jetoria Irving's NPI active?
- Yes — Jetoria Irving's NPI (1437636321) is active in the NPPES registry as of the last update on 2018-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.