Endodontics Associates LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENDODONTICS ASSOCIATES LLC

Practice address

1690 Stone Village LN NW Ste 922
Kennesaw, GA 30152-7714

Phone

(770) 499-2102

NPI assigned

Mar 27, 2015

Last updated

Mar 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Damaries Candelario-Soto, DMD

Title

Owner

Phone

(770) 499-2102

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

  • Endodontics
  • Kennesaw, GA
  • NPI 1285906099
  NPD tax ID

Locations

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1912391863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 922",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527714",
            "telephone_number": "770-499-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 922",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527714",
            "telephone_number": "770-499-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTICS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO-SOTO",
        "authorized_official_first_name": "DAMARIES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-499-2102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Envision Chiropractic

• Dental Clinic/Center in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.