Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kennestone Periodontics of Marietta, PC

Periodontics in Marietta, GA · enumerated 2011 · authorized official Peter Shatz, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316243389

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Kennestone Periodontics of Marietta, PC

Practice address 611 Campbell Hill St Nw, Suite 102, Marietta, GA, 30060

Phone (770) 422-0642

Fax (770) 422-0643

Enumeration date Feb 8, 2011

Last updated in NPPES Feb 8, 2011

Taxonomy & classification

1223P0300X Periodontics Dental Providers · License 11384 (GA) Secondary

1223P0300X Periodontics Dental Providers · License 10742 (GA) Primary

Authorized official

Name Peter Shatz

Title President

Phone (770) 422-0642

Other identifiers

Identifier	Type	State	Issuer
1982798716	Other	GA	PERSONAL NPI NUMBER
1811082183	Other	GA	PERSONAL NPI NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-02-08. Verify at npiregistry.cms.hhs.gov.

Where is Kennestone Periodontics of Marietta, PC located?

The practice location on file with NPPES is in Marietta, GA.

Providers at this address

Browse all →

Village Podiatry Group, P.C. Podiatrist · Marietta, GA NPI 1952604092

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-08.