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Active NPI 1114099348 Individual Practitioner Female Practitioner

Lechandre Bonner

Dentist - General Practice • Kennesaw, GA

Professional Overview & Biography Verified Profile Summary

Lechandre Bonner is a registered healthcare professional specializing in Dentist - General Practice in Kennesaw, GA. Practice services are available at 425 BARRETT PKWY STE 4060 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

425 Barrett Pkwy Ste 4060

Kennesaw, GA 301444949

Telephone 6789056300
Fax 6789056301

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kennesaw, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
41 Specialists

Practicing in Kennesaw, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN012435

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000946536L (GA)
Medicaid State Provider ID
000946536AP (GA)
Medicaid State Provider ID
000946536C (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 13, 2019

Registered at 425 BARRETT PKWY STE 4060, KENNESAW, GA 301444949 (Tel: 6789056300)

📍
Updated Business Mailing Address May 13, 2019

Registered at 2019 CLOVERCROFT RD NW, ACWORTH, GA 301017178 (Tel: 7066279079)

NPI Profile Active May 21, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2012

Registered at 550 FRANKLIN RD SE, SUITE B, MARIETTA, GA 300677740 (Tel: 7705145055)

📍
Updated Business Mailing Address May 21, 2012

Registered at 550 FRANKLIN RD SE, SUITE B, MARIETTA, GA 300677740 (Tel: 7705145055)

👤
Provider Name / Credentials Updated May 21, 2012

Recorded as LECHANDRE BONNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2012

Dentist (License #DN012435 in GA)

🟢
Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114099348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: May 13, 2019
Sole Proprietor: No

Mailing Address

2019 Clovercroft Rd Nw

Acworth, GA 301017178

Phone: 7066279079

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.