Endodontics Associates LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN011492 Issued in GA

Legal business name

ENDODONTICS ASSOCIATES LLC

Practice address

5255 Stilesboro Rd NW Ste 130
Kennesaw, GA 30152-7739

Phone

(770) 605-6507

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Damaries Candelario-Soto, DMD

Title

Endodontist

Phone

(770) 605-6507

Specialties & licenses 1

Addresses

Tax ID family

Endodontics Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Endodontics Associates LLC

  • Dental Clinic/Center
  • Kennesaw, GA
  • NPI 1912391863
  NPD tax ID

Locations

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1285906099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAYTON LORIANE DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301278342",
            "telephone_number": "770-605-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 STILESBORO RD NW STE 130",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527739",
            "telephone_number": "770-605-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTICS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO-SOTO",
        "authorized_official_first_name": "DAMARIES",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "770-605-6507",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN011492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eman Haddad (Atlanta Care Psych LLC)
• Rebecca Emch, PHARMD
• Kelly M Emelianchik-Key, PHD, LPC, NCC
• Kyle John Emer, DMD
• En Casa Rehab LLC
• Endodontics Associates LLC
• Endohealth
• Amy Elizabeth Engle, OTR/L
• Magan English
• Constance Enmon, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.