Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Cosmetic and Family Dentistry of Marietta

Organization Dentist · NPI 1023264322

Cosmetic and Family Dentistry of Marietta provides Dentist services in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

1611 Sands Pl SE Ste 100
Marietta, GA 30067-8704 Not confirmed with CMS for 18 years — call before visiting
Phone: (770) 226-0008
Fax: (770) 226-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN012485 (GA)
Dentist Taxonomy 122300000X · Licence DN012484 (GA)

Record details

NPI number1023264322
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCosmetic and Family Dentistry of Marietta
Authorized official Kenneth Wiggins — Dr./Dentist · (770) 226-0008
Other names Cosmetic And Family Dentistry Of Roswell
NPI enumeratedAugust 18, 2008
Last updated in NPPESAugust 18, 2008
Mailing addressPo Box 7718, Marietta, GA 30065-1718

Other providers in Marietta