Candler Road Dental, Pc in Marietta - General Practice
Candler Road Dental, Pc - NPI 1023105624
Candler Road Dental, Pc is a General Practice in Marietta, Georgia. Candler Road Dental, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Candler Road Dental, Pc is 1023105624. 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 | 1023105624 |
|---|---|
| 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 | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Candler Road Dental, Pc by the Centers for Medicare & Medicaid Services?
The Candler Road Dental, Pc has been issued the NPI (National Provider Identifier) 1023105624 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
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 area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Candler Road Dental, Pc is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023105624 to Candler Road Dental, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1023105624 to Candler Road Dental, Pc on 2006-10-06.
When was the information regarding Candler Road Dental, Pc most recently updated?
The details pertaining to the Candler Road Dental, Pc, including its address, specialty, and other relevant information, were last refreshed on 2019-03-19.
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