Conyers Endodontic Center PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

CONYERS ENDODONTIC CENTER PC

Practice address

1920 Highway 20 SE
Suite a
Conyers, GA 30013-2048

Phone

(470) 486-6025

Fax

(470) 474-2221

NPI assigned

Jul 15, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brittany L Bennett

Title

Office Manager

Phone

(470) 474-2220

Specialties & licenses 1

Addresses

Other names 1

• Conyers Endodontic Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rolin Desir, DDS

  • Endodontics
  • McDonough, GA
  • NPI 1457589335
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1104434232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 HIGHWAY 20 SE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132048",
            "telephone_number": "470-474-2220",
            "fax_number": "470-474-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 HIGHWAY 20 SE",
            "address_2": "SUITE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132048",
            "telephone_number": "470-486-6025",
            "fax_number": "470-474-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONYERS ENDODONTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "470-474-2220"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conyers Endodontic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conyers Endodontic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Conton, LPC
• Conyers Chiropractic & Massage P.C.
• Conyers Dental Associates, LLC
• Conyers Dental LLC
• Conyers Dentures & Implant Center
• Conyers Family Practice Inc
• Conyers Ga Opco LLC
• Conyers Internal Medicine LLC
• Conyers Medical Clinic, PC
• Conyers Pediatrics, PC

• Endodontics in Conyers, GA
• Providers in Conyers, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.