MEDICARE: MANOJ KUMAR DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0001X	Public Health Dentistry	DN122770	GA

General Provider Information

NPI Number	:	1063149185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANOJ KUMAR DDS

Provider Business Mailing Address
First Line	:	808 MOSS CREEK PLANTATION
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30097-5958
Country	:	US
Telephone Number	:	323-899-6794
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 E WALNUT AVE
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30721-4183
Country	:	US
Telephone Number	:	706-508-4222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2022
Last Update Date	:	08/08/2022

Similar Medicare Providers

1205834637 — MR. TRACEY R DAILEY
Practice Location Address:

1100 E WALNUT AVE , SUITE 16
DALTON, GA
30721-4183

Practice Phone: 706-226-6000
Practice Fax: 706-226-3786

1144207549 — CAINCARE, INC
Practice Location Address:

1100 E WALNUT AVE
DALTON, GA
30721-4183

Practice Phone: 706-226-6000
Practice Fax: 706-226-3786

1871570275 — EGOR ENTERPRISES, INC
Practice Location Address:

1100 E WALNUT AVE
DALTON, GA
30721-4183

Practice Phone: 706-226-6000
Practice Fax: 706-226-3786

1568551919 — DR. JUAN CARLOS MALPARTIDA M.D.
Practice Location Address:

1100 E WALNUT AVE , SUITE #15
DALTON, GA
30721-4183

Practice Phone: 706-259-5579
Practice Fax: 706-259-6558

1396690707 — ANDREA RAE HILL PMHNP
Practice Location Address:

129 SANTA FE LOOP NW
DALTON, GA
30721-7734

Practice Phone: 706-264-3490
Practice Fax:

1689671372 — DR. KERRY A NEISES MD
Practice Location Address:

914 VISTA DRIVE
DALTON, GA
30721-8654

Practice Phone: 706-226-3139
Practice Fax: 706-278-6606

Directions to “ MANOJ KUMAR DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.