KENNESTONE PERIODONTICS OF MARIETTA, PC
KENNESTONE PERIODONTICS OF MARIETTA, PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1316243389, based in Marietta, GA. It is classified under Periodontics.
Getting there
The practice address on file is 611 CAMPBELL HILL ST NW SUITE 102, Marietta, GA 30060. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 10742 | GA | Periodontics primary |
| 11384 | GA | Periodontics |
This provider holds licence 10742 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Periodontics covers
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. NUCC Health Care Provider Taxonomy, code 1223P0300X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0300X | Periodontics Periodontics | 10742 | GA | primary |
| 1223P0300X | Periodontics Periodontics | 11384 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1316243389 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 8, 2011 |
| Last updated | Feb 8, 2011 |
| Status | Active |
| Practice address |
611 CAMPBELL HILL ST NW SUITE 102 Marietta, GA 30060 (770) 422-0642 Fax (770) 422-0643 |
| Mailing address |
2070 S PARK PL SE SUITE 200 Atlanta, GA 30339 |
| Other identifiers |
1982798716
· Other (GA) 1811082183 · Other (GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 1 | 6 | 2 | 4 | 3 | 3 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 2 | 6 | 4 | 4 | 6 | 3 | 7 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.