Cartersville Endodontics LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

CARTERSVILLE ENDODONTICS LLC

Doing business as

Cartersville Endodontics LLC

Practice address

4 West Ave Ste 100
Cartersville, GA 30120-3518

Phone

(470) 274-2426

Fax

(470) 729-7556

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Charity Bone

Title

Office Manager

Phone

(678) 614-1025

Specialties & licenses 1

Addresses

Other names 1

• Cartersville Endodontics LLC Doing business as

Locations

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1164200549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEST AVE STE 100",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203518",
            "telephone_number": "470-274-2426",
            "fax_number": "470-729-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEST AVE STE 100",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203518",
            "telephone_number": "470-274-2426",
            "fax_number": "470-729-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERSVILLE ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "BONE",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-614-1025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cartersville Endodontics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.