Northwest Endodontic Specialists, P.C. in Woodstock - Endodontics
Northwest Endodontic Specialists, P.C. - NPI 1801916069
Northwest Endodontic Specialists, P.C. is a Endodontics in Woodstock, Georgia. Northwest Endodontic Specialists, P.C. practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Northwest Endodontic Specialists, P.C. is 1801916069. The last update date is 2020-08-22.
Northwest Endodontic Specialists, P.C.'s current location address is 271 Heritage Walk, Woodstock, Georgia. You can contact this provider via phone number 7709240423 and fax number 7709249222. The mailing address for Northwest Endodontic Specialists, P.C. is 271 Heritage Walk, Woodstock, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Endodontic Specialists, P.C. |
|---|---|
| Address | 271 Heritage Walk, Woodstock, Georgia |
| Phone Number | 7709240423 |
| Fax Number | 7709249222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Odum Michael Richardson |
| Credentials | D.M.D. |
| Telephone Number | 7709240423 |
NPI Number Detail
| NPI Number | 1801916069 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 271 Heritage Walk |
|---|---|
| City | Woodstock |
| State | Georgia (GA) |
| Post Code | 301883876 |
| Phone Number | 7709240423 |
| Fax Number | 7709249222 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 10232, 10416 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Northwest Endodontic Specialists, P.C. by the Centers for Medicare & Medicaid Services?
The Northwest Endodontic Specialists, P.C. has been issued the NPI (National Provider Identifier) 1801916069, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Northwest Endodontic Specialists, P.C.'s facilities are situated?
The facilities of Northwest Endodontic Specialists, P.C. are physically located at the following address: 271 Heritage Walk, Woodstock, GA, 301883876.
What is the area of specialization for Northwest Endodontic Specialists, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northwest Endodontic Specialists, P.C. is Endodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801916069 to Northwest Endodontic Specialists, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1801916069 to Northwest Endodontic Specialists, P.C. on 2007-03-30.
When was the information regarding Northwest Endodontic Specialists, P.C. most recently updated?
The details pertaining to the Northwest Endodontic Specialists, P.C., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.