Unknown Individual – Pediatric Dentistry, NPI 1740252097

Unknown Individual is a healthcare provider. based in Kennesaw, Georgia. specializing in Pediatric Dentistry. They hold a License No. 9268 (GA). The NPI Number for Unknown Individual is 1740252097

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1740252097
Phone
(770) 926-3400
Address
205 HAWKINS STORE ROAD
Deactivation Date
30 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Emergency Dentist Kennesaw, 205, Hawkins Store Road Northwest, Kennesaw, Cobb County, Georgia, 30144, United States

    SUITE A-1

    KENNESAW, GA 30144

    Phone: (770) 926-3400

    Fax: (770) 926-6317

    Type: Location

  • 460, Brook Circle, Roswell, Fulton County, Georgia, 30075, United States

    ROSWELL, GA 300757176

    Phone: (678) 566-1990

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30144)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1740252097 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Georgia?
You will see Kennesaw, Georgia on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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