Organization Active NPI

Cobb Root Canals

  • Endodontics
  • Marietta, GA
National Provider Identifier
1689343279
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
COBB ROOT CANALS
Practice address
3535 Roswell Rd Ste 56
Marietta, GA 30062-8828
Phone
(678) 996-6949
Fax
(470) 689-3976
NPI assigned
Sep 8, 2021
Organization subpart
Yes
Parent organization
COBB ROOT CANALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Mr. Sherwan Saraf
Title
Office Manager
Phone
(678) 996-6949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

3535 Roswell Rd Ste 56
Marietta, GA 30062-8828

Mailing address

3535 Roswell Rd Ste 56
Marietta, GA 30062-8828
Phone (678) 996-6949

Other practice location 1

76 Highland Pavilion Ct Ste 149
Hiram, GA 30141-3170
Phone (678) 324-7434

Other names 1

  • Cobb Root Canals Other name

National Provider Directory

National Provider Directory
Part of
Cobb Root Canals

Locations

76 Highland Pavilion Ct
Ste 149
Hiram, GA 30141
Phone (678) 324-7434

3535 Roswell Rd
Ste 56
Marietta, GA 30062
Phone (678) 996-6949

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1689343279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 ROSWELL RD STE 56",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628828",
            "telephone_number": "678-996-6949",
            "fax_number": "470-689-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROSWELL RD STE 56",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628828",
            "telephone_number": "678-996-6949",
            "fax_number": "470-689-3976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Highland Pavilion Ct Ste 149",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301413170",
            "country_code": "US",
            "telephone_number": "678-324-7434",
            "fax_number": "470-308-4938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COBB ROOT CANALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COBB ROOT CANALS",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "SARAF",
        "authorized_official_first_name": "SHERWAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-996-6949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobb Root Canals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.