Candler Road Dental, Pc in Marietta - Endodontics
Candler Road Dental, Pc - NPI 1295823003
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 1295823003. 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 | 1295823003 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| 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 unique 10-digit identification code issued to Candler Road Dental, Pc by the Centers for Medicare & Medicaid Services?
The Candler Road Dental, Pc has been assigned the NPI (National Provider Identifier) 1295823003 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Candler Road Dental, Pc is physically located?
The Candler Road Dental, Pc is physically situated at the following address: 1090 Northchase Pkwy Se Ste 150, Marietta, GA, 300676407.
What is the Candler Road Dental, Pc's specialty and taxonomy code?
The Candler Road Dental, Pc's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
When was the Candler Road Dental, Pc's 1295823003 issued?
The Candler Road Dental, Pc's 1295823003 was issued on 2006-10-10.
As of what date were the Candler Road Dental, Pc's details last updated?
The information pertaining to the Candler Road Dental, Pc, including its address, specialty, and other details, was most recently updated on 2019-03-19.
NPI Number: 1215930425
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