Provider Demographics
NPI:1912157355
Name:KRISHNA, RANJITHA (DMD, MS, MPH)
Entity Type:Individual
Prefix:DR
First Name:RANJITHA
Middle Name:
Last Name:KRISHNA
Suffix:
Gender:F
Credentials:DMD, MS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 CANTON RD NE STE B
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7257
Mailing Address - Country:US
Mailing Address - Phone:770-422-5220
Mailing Address - Fax:678-253-6502
Practice Address - Street 1:810 CANTON RD NE STE B
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7257
Practice Address - Country:US
Practice Address - Phone:770-422-5220
Practice Address - Fax:678-253-6502
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0148791223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics