Georgia Endodontic Specialists in Duluth - Endodontics
Georgia Endodontic Specialists - NPI 1174794002
Georgia Endodontic Specialists is a Endodontics in Duluth, Georgia. Georgia Endodontic Specialists practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Georgia Endodontic Specialists is 1174794002. The last update date is 2008-06-20.
Georgia Endodontic Specialists's current location address is 9590 Medlock Bridge Rd, Duluth, Georgia. You can contact this provider via phone number 7702325112 and fax number 7702325115. The mailing address for Georgia Endodontic Specialists is 9590 Medlock Bridge Rd, Duluth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georgia Endodontic Specialists |
|---|---|
| Address | 9590 Medlock Bridge Rd, Duluth, Georgia |
| Phone Number | 7702325112 |
| Fax Number | 7702325115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kravitz Hale Les |
| Credentials | DDS |
| Telephone Number | 7702325112 |
NPI Number Detail
| NPI Number | 1174794002 |
|---|---|
| Provider Enumeration Date | 2008-03-19 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 9590 Medlock Bridge Rd |
|---|---|
| City | Duluth |
| State | Georgia (GA) |
| Post Code | 30097 |
| Phone Number | 7702325112 |
| Fax Number | 7702325115 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 10636 |
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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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What is the Georgia Endodontic Specialists's 1174794002?
The Georgia Endodontic Specialists's NPI (National Provider Identifier) Number is 1174794002. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Georgia Endodontic Specialists?
The Georgia Endodontic Specialists is situated at 9590 Medlock Bridge Rd, in the city of Duluth, state of GA, with the zip code 30097.
What is the Georgia Endodontic Specialists's specialty and taxonomy code?
The Georgia Endodontic Specialists's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date was the 1174794002 assigned to Georgia Endodontic Specialists?
The Georgia Endodontic Specialists was issued its 1174794002 on 2008-03-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Georgia Endodontic Specialists's details last updated?
The information pertaining to the Georgia Endodontic Specialists, including its address, specialty, and other details, was most recently updated on 2008-06-20.