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CANTON OFFICE
NPI 1700058302
Dentist - Endodontics in Canton, GA

Active since March 24, 2008
2205 RIVERSTONE BLVD, SUITE 205, CANTON, GA 30114(678) 493-6693(678) 493-6694 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Canton Office NPPES

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

CANTON OFFICE (NPI 1700058302) is a healthcare organization registered as an endodontics in Canton, Georgia and active in the NPI registry since March 2008. The organization lists Richardson Michael Odum, President, as its authorized official.

NPPES Registry Identity

NPI1700058302
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameNORTHWEST ENDODONTIC SPECIALISTS, P.C.
Location Address2205 RIVERSTONE BLVD, SUITE 205Canton, GA 30114-5227
Mailing Address2205 Riverstone Blvd, Suite 205Canton, GA 30114-5227 · (678) 493-6693 · Fax (678) 493-6694
Phone(678) 493-6693
Fax(678) 493-6694
Organization SubpartNo
Authorized OfficialRichardson Michael OdumPresident · (678) 493-6693
Enumeration DateMarch 24, 2008
✔ NPI 1700058302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in GA · 10232, 10416
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.

2205 RIVERSTONE BLVD, Canton, GA 30114
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Other Names 1

Other NameCanton Office

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERVENTIONAL SPINE & PAIN MANAGEMENT CENTER, PC
Pain Medicine (Interventional Pain Medicine)
2205 RIVERSTONE BLVD, SUITE 101
CANTON, GA 30114
Cherokee County (770) 929-9033

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 Northwest Endodontic Specialists, P.C.'s NPI number?

The NPI number for Northwest Endodontic Specialists, P.C. is 1700058302. It was assigned to this organization in the NPPES registry on March 24, 2008. The provider is also known as Canton Office.

Where is Northwest Endodontic Specialists, P.C. located?

Northwest Endodontic Specialists, P.C. is located at 2205 Riverstone Blvd Suite 205, Canton, GA 30114. The listed phone number is (678) 493-6693.

What is Northwest Endodontic Specialists, P.C.'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 Northwest Endodontic Specialists, P.C. was last updated on March 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.