Active NPI
Canton Endodontics,LLC
- Endodontics
- Canton, GA
National Provider Identifier
1477412906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- CANTON ENDODONTICS,LLC
- Practice address
- 170 River Green Ave Ste 102
Canton, GA 30114-4685 - Phone
- (943) 400-2911
- Fax
- (943) 400-2880
- NPI assigned
- Jan 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Iliana Moronta
- Title
- Office Lead
- Phone
- (943) 400-2911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
170 River Green Ave Ste 102
Canton, GA 30114-4685
Mailing address
170 River Green Ave Ste 102
Canton, GA 30114-4685
Phone (943) 400-2911
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768867200000",
"number": "1477412906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 RIVER GREEN AVE STE 102",
"city": "CANTON",
"state": "GA",
"postal_code": "301144685",
"telephone_number": "943-400-2911",
"fax_number": "943-400-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 RIVER GREEN AVE STE 102",
"city": "CANTON",
"state": "GA",
"postal_code": "301144685",
"telephone_number": "943-400-2911",
"fax_number": "943-400-2880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANTON ENDODONTICS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-20",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A",
"authorized_official_last_name": "MORONTA",
"authorized_official_first_name": "ILIANA",
"authorized_official_title_or_position": "OFFICE LEAD",
"authorized_official_telephone_number": "943-400-2911",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
- Canton Center for Nursing and Healing LLC
- Canton Chiropractic and Massage Inc
- Canton Convalescent Center Inc
- Canton Counseling, LLC
- Canton Dental, LLC
- Canton Eye Surgery Center
- Canton Family Care
- Canton Institute for Physical Therapy, LLC
- Canton Market Place Medical, LLC
- Canton Marketplace Dentistry LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.