CONYERS ENDODONTIC CENTER
NPI 1104434232
Dentist - Endodontics in Conyers, GA

Active since July 15, 2020
1920 HIGHWAY 20 SE, SUITE A, CONYERS, GA 30013(470) 486-6025(470) 474-2221 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2021, Jul 15, 2020 (2 updates tracked since 2020).

About Conyers Endodontic Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONYERS ENDODONTIC CENTER (NPI 1104434232) is a healthcare organization registered as an endodontics in Conyers, Georgia and active in the NPI registry since July 2020. The organization lists Brittany L Bennett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104434232
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameCONYERS ENDODONTIC CENTER PC
Location Address1920 HIGHWAY 20 SE, SUITE AConyers, GA 30013-2048
Mailing Address1920 Highway 20 Se Ste AConyers, GA 30013-2048 · (470) 474-2220 · Fax (470) 474-2221
Fax(470) 474-2221
Organization SubpartNo
Authorized OfficialBrittany L BennettOffice Manager · (470) 474-2220
Enumeration DateJuly 15, 2020
Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
NPI 1104434232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1920 HIGHWAY 20 SE, Conyers, GA 30013

Other Names 1

Doing Business AsConyers Endodontic Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conyers Endodontic Center PC's NPI number?

The NPI number for Conyers Endodontic Center PC is 1104434232. It was assigned to this organization in the NPPES registry on July 15, 2020. The provider is doing business as Conyers Endodontic Center.

Where is Conyers Endodontic Center PC located?

Conyers Endodontic Center PC is located at 1920 Highway 20 SE Suite A, Conyers, GA 30013. The listed phone number is (470) 486-6025.

What is Conyers Endodontic Center PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Conyers Endodontic Center PC was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.