Candler Road Dental, Pc in Marietta - Endodontics
Candler Road Dental, Pc - NPI 1114014719
Candler Road Dental, Pc is a Endodontics in Marietta, Georgia. Candler Road Dental, Pc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Candler Road Dental, Pc is 1114014719. The last update date is 2019-03-19.
Candler Road Dental, Pc's current location address is 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia. You can contact this provider via phone number 7709165028 and fax number 6782477858. The mailing address for Candler Road Dental, Pc is 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Candler Road Dental, Pc |
|---|---|
| Address | 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia |
| Phone Number | 7709165028 |
| Fax Number | 6782477858 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tran Tu |
| Credentials | DDS |
| Telephone Number | 7709165036 |
NPI Number Detail
| NPI Number | 1114014719 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2019-03-19 |
Provider Mailing Address Detail
| Address | 1090 Northchase Pkwy Se Ste 150 |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300676407 |
| Phone Number | 7709165028 |
| Fax Number | 6782477858 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the Candler Road Dental, Pc's unique identification number?
The Candler Road Dental, Pc has been assigned the NPI (National Provider Identifier) Number 1114014719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Candler Road Dental, Pc located?
The Candler Road Dental, Pc is located at 1090 Northchase Pkwy Se Ste 150, Marietta, GA 300676407.
What is Candler Road Dental, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Candler Road Dental, Pc's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.
When was the Candler Road Dental, Pc's 1114014719 issued?
The Candler Road Dental, Pc's 1114014719 was issued on 2006-10-06.
When was the information regarding Candler Road Dental, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Candler Road Dental, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-03-19.
NPI Number: 1932102142
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