OrganizationActive
Everest Dental LLC
NPI 1942748751 · Dentist · Kennesaw, GA
Provider details
- NPI number
- 1942748751
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jennifer La Duc, Provider Relations(315) 454-6000
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs 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
1955 N Cobb Pkwy Nw
Ste 110
Kennesaw, GA 30152-4503
Phone: (770) 799-8964
Fax: (678) 888-5809
Street-level locationGet directions
Mailing address
Po Box 3189
Syracuse, NY 13220-3189
Other names (DBA / former)
- Doing business as
- Aspen Dental
Registry dates
- Enumerated
- 2017-02-01
- Last updated
- 2017-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.