Northwest Endodontic Specialists, P.C. in Canton - Endodontics
Northwest Endodontic Specialists, P.C. - NPI 1700058302
Northwest Endodontic Specialists, P.C. is a Endodontics in Canton, 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 1700058302. The last update date is 2008-03-24.
Northwest Endodontic Specialists, P.C.'s current location address is 2205 Riverstone Blvd, Canton, Georgia. You can contact this provider via phone number 6784936693 and fax number 6784936694. The mailing address for Northwest Endodontic Specialists, P.C. is 2205 Riverstone Blvd, Canton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Endodontic Specialists, P.C. |
|---|---|
| Address | 2205 Riverstone Blvd, Canton, Georgia |
| Phone Number | 6784936693 |
| Fax Number | 6784936694 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Odum Michael Richardson |
| Credentials | DMD |
| Telephone Number | 6784936693 |
NPI Number Detail
| NPI Number | 1700058302 |
|---|---|
| Provider Enumeration Date | 2008-03-24 |
| Last Updated Date | 2008-03-24 |
Provider Mailing Address Detail
| Address | 2205 Riverstone Blvd |
|---|---|
| City | Canton |
| State | Georgia (GA) |
| Post Code | 301145227 |
| Phone Number | 6784936693 |
| Fax Number | 6784936694 |
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 identifier code issued to Northwest Endodontic Specialists, P.C. by the Centers for Medicare & Medicaid Services?
The Northwest Endodontic Specialists, P.C. has been assigned the NPI (National Provider Identifier) 1700058302. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Northwest Endodontic Specialists, P.C. located?
The Northwest Endodontic Specialists, P.C. is located at 2205 Riverstone Blvd, Canton, GA 301145227.
What is the Northwest Endodontic Specialists, P.C.'s specialty and taxonomy code?
The Northwest Endodontic Specialists, P.C.'s specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700058302 to Northwest Endodontic Specialists, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1700058302 to Northwest Endodontic Specialists, P.C. on 2008-03-24.
When was the information regarding Northwest Endodontic Specialists, P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Northwest Endodontic Specialists, P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-24.