NPIMap

Organization Active NPI

Georgia Endodontic Specialists

Doing business as Georgia Endodontics - Tucker

  • Endodontics
  • Tucker, GA
National Provider Identifier
1891606596
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
GEORGIA ENDODONTIC SPECIALISTS
Doing business as
Georgia Endodontics - Tucker
Practice address
3575 Habersham at Northlake BLDG L
Tucker, GA 30084-4001
Phone
(770) 934-1000
NPI assigned
Sep 14, 2026
Organization subpart
Yes
Parent organization
GEORGIA ENDODONTIC SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

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

Addresses

Primary practice location

3575 Habersham at Northlake BLDG L
Tucker, GA 30084-4001

Mailing address

3575 Habersham at Northlake BLDG L
Tucker, GA 30084-4001

Other names 1

  • Georgia Endodontics - Tucker Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Georgia Endodontic Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1891606596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 HABERSHAM AT NORTHLAKE BLDG L",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 HABERSHAM AT NORTHLAKE BLDG L",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844001",
            "telephone_number": "770-934-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA ENDODONTIC SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA ENDODONTIC SPECIALISTS",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Endodontics - Tucker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.