OrganizationActive
Kennestone Dentist LLC
NPI 1811705130 · Dental Clinic/Center · Marietta, GA
Kennestone Dentist LLC is a Dental Clinic/Center organization in Marietta, GA (NPI 1811705130).
Provider details
- NPI number
- 1811705130
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Praveen Gudipati, Owner/Member(404) 966-7766
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
598 Nancy St Nw Ste 200
Marietta, GA 30060-1375
Phone: (404) 220-7732
Street-level locationGet directions
Mailing address
598 Nancy St Nw Ste 200
Marietta, GA 30060-1375
Registry dates
- Enumerated
- 2024-12-19
- Last updated
- 2024-12-19
- Certified
- 2024-12-19
Frequently asked questions
- What is Kennestone Dentist LLC's NPI number?
- Kennestone Dentist LLC's National Provider Identifier (NPI) is 1811705130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kennestone Dentist LLC?
- Kennestone Dentist LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kennestone Dentist LLC located?
- Kennestone Dentist LLC's practice location on file with NPPES is 598 Nancy St Nw Ste 200, Marietta, GA 30060-1375.
- What is Kennestone Dentist LLC's phone number?
- The practice phone number listed in the NPPES registry for Kennestone Dentist LLC is (404) 220-7732.
- Who is the authorized official for Kennestone Dentist LLC?
- The authorized official listed on Kennestone Dentist LLC's NPPES record is Praveen Gudipati, Owner/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kennestone Dentist LLC's NPI active?
- Yes — Kennestone Dentist LLC's NPI (1811705130) is active in the NPPES registry as of the last update on 2024-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.