Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821207077 Individual Practitioner Female Practitioner

Dr. Maridith G De Jesus , DDS

Dentist - General Practice • Kennesaw, GA

Professional Overview & Biography Verified Profile Summary

Dr. Maridith De Jesus, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kennesaw, GA. Practice services are available at 3525 BUSBEE DR NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3525 Busbee Dr Nw

Kennesaw, GA 301445677

Telephone 6788362115
Associated Practice Facility / Clinic
🏢 Orthoatlanta, Llc Facility NPI 1215260922

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

CMS Verified: 2023-08-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123034

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL DN22274

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL DN2274

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1063515013

Doctor of Dental Surgery

Elinor Eason , RDH

Dental Hygienist

NPI 1396504312

Registered Dental Hygienist

NPI 1487999165
NPI 1639911472

Doctor of Dental Medicine

NPI 1750874889

Doctor of Dental Medicine

NPI 1942303045

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 09, 2023

Registered at 3525 BUSBEE DR NW, KENNESAW, GA 301445677 (Tel: 6788362115)

📍
Updated Business Mailing Address August 09, 2023

Registered at 308 COALTER WAY, DECATUR, GA 300303321 (Tel: 9736475897)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2023

Dentist (License #DN22274 in FL)

📍
Updated Practice Location February 16, 2022

Registered at 5500 1ST AVE N, ST PETERSBURG, FL 337108006 (Tel: 8137798591)

NPI Profile Active September 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2016

Registered at 4924 ALLEN RD, ZEPHYRHILLS, FL 335413526 (Tel: 8137798591)

📍
Updated Business Mailing Address September 09, 2016

Registered at 13704 SUN CT, TAMPA, FL 336242598 (Tel: 9736475897)

👤
Provider Name / Credentials Updated September 09, 2016

Recorded as MARIDITH DE JESUS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2016

Dentist (License #DN2274 in FL)

🟢
Initial NPI Registration & Enumeration May 22, 2007

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: 1821207077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: August 09, 2023
Sole Proprietor: Yes

Mailing Address

308 Coalter Way

Decatur, GA 300303321

Phone: 9736475897

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.