Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kallie Law Brock, DMD

Individual provider General Practice Dentistry · NPI 1447596655

Kallie Law Brock, DMD practises General Practice Dentistry in Canton, Georgia. Licensed in Georgia and South Carolina. Registered with an NPI since 2012.

Licensed in
GA, SC
In the registry since
2012
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

205 Waleska Rd Ste 2A
Canton, GA 30114-2493 Not confirmed with CMS for 11 years — call before visiting
Phone: (770) 479-3713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8162 (SC)
Dentist Taxonomy 122300000X · Licence DN014538 (GA)

Record details

NPI number1447596655
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 14, 2012
Last updated in NPPESFebruary 15, 2015

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