Provider Demographics
NPI:1740177435
Name:KOCHANOWSKI, NATALIE EVE (DMD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:EVE
Last Name:KOCHANOWSKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3699 LENOX RD NE APT 213
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-3588
Mailing Address - Country:US
Mailing Address - Phone:971-266-9096
Mailing Address - Fax:
Practice Address - Street 1:4090 JILES RD NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-1105
Practice Address - Country:US
Practice Address - Phone:678-915-9496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN123813122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist