Provider Demographics
NPI:1780605998
Name:BATH, KAVREET RITU (DMD)
Entity type:Individual
Prefix:DR
First Name:KAVREET
Middle Name:RITU
Last Name:BATH
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:472 N SESSIONS ST NW
Mailing Address - Street 2:SUITE 22
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1368
Mailing Address - Country:US
Mailing Address - Phone:770-425-7070
Mailing Address - Fax:770-425-7060
Practice Address - Street 1:472 N SESSIONS ST NW
Practice Address - Street 2:SUITE 22
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1368
Practice Address - Country:US
Practice Address - Phone:770-425-7070
Practice Address - Fax:770-425-7060
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GADN0120031223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics