Provider Demographics
NPI:1326262643
Name:STARLING, KENNETH EDWARD JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:EDWARD
Last Name:STARLING
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:131 LANGLEY DR STE A
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-6909
Mailing Address - Country:US
Mailing Address - Phone:770-963-8085
Mailing Address - Fax:770-682-6951
Practice Address - Street 1:131 LANGLEY DR STE A
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6909
Practice Address - Country:US
Practice Address - Phone:770-963-8085
Practice Address - Fax:770-682-6951
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAGA101771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics