Dr. Stephen Reynolds Connelly , DMD
Dentist - General Practice • Marietta, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Connelly has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Stephen Connelly, DMD was a registered Dentist - General Practice practicing in Marietta, GA. Throughout an active medical career spanning 16 years, Dr. Connelly provided care at the practice location at 1070 WOODLAWN DR NE STE 100 until profile deactivation on 2022-12-05.
Practice Location & Contact Primary Location
1070 Woodlawn Dr Ne Ste 100
Marietta, GA 300684290
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Marietta, GA
Practicing in Marietta, GA (3302 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 05, 2022
NPI status registered as active in NPPES database
Registered at 1070 WOODLAWN DR NE STE 100, MARIETTA, GA 300684290 (Tel: 7709777600)
Registered at 1070 WOODLAWN DR NE STE 100, MARIETTA, GA 300684290 (Tel: 7709777600)
Recorded as STEPHEN CONNELLY, DMD
Dentist (License #DN012748 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1070 Woodlawn Dr Ne Ste 100
Marietta, GA 300684290
Phone: 7709777600
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