LAKE OCONEE ENDODONTICS, LLC
NPI 1720342694
Dentist - Endodontics in Greensboro, GA

Active since June 26, 2012
1011 PARKSIDE CMNS STE 103, GREENSBORO, GA 30642(706) 484-9844(706) 484-9846 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Oconee Endodontics, Llc NPPES

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

LAKE OCONEE ENDODONTICS, LLC (NPI 1720342694) is a healthcare organization registered as an endodontics in Greensboro, Georgia and active in the NPI registry since June 2012. The organization lists Michael Chadwick Williams, President, as its authorized official.

NPPES Registry Identity

NPI1720342694
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameLAKE OCONEE ENDODONTICS, LLC
Location Address1011 PARKSIDE CMNS STE 103Greensboro, GA 30642-4553
Mailing Address1011 Parkside Cmns Ste 103Greensboro, GA 30642-4553 · (706) 484-9844 · Fax (706) 484-9846
Fax(706) 484-9846
Organization SubpartNo
Authorized OfficialMichael Chadwick WilliamsPresident · (706) 825-0829
Enumeration DateJune 26, 2012
Last NPPES UpdateOctober 26, 2022
NPPES CertifiedOctober 26, 2022
NPI 1720342694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in GA · DN012544
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.
1011 PARKSIDE CMNS STE 103, Greensboro, GA 30642

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 Lake Oconee Endodontics, LLC's NPI number?

The NPI number for Lake Oconee Endodontics, LLC is 1720342694. It was assigned to this organization in the NPPES registry on June 26, 2012.

Where is Lake Oconee Endodontics, LLC located?

Lake Oconee Endodontics, LLC is located at 1011 Parkside Cmns Ste 103, Greensboro, GA 30642. The listed phone number is (706) 484-9844.

What is Lake Oconee Endodontics, LLC'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 Lake Oconee Endodontics, LLC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.