CANTON MARKETPLACE DENTISTRY LLC
NPI 1891267316
Dentist - General Practice in Canton, GA

Q: What is Canton Marketplace Dentistry LLC's NPI number?

The NPI number for Canton Marketplace Dentistry LLC is 1891267316. It was assigned to this organization in the NPPES registry on December 21, 2018.

Q: What is Canton Marketplace Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since December 21, 2018

1810 CUMMING HWY STE 900, CANTON, GA 30115(770) 780-2465(678) 880-0059 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Canton Marketplace Dentistry Llc NPPES

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

CANTON MARKETPLACE DENTISTRY LLC (NPI 1891267316) is a healthcare organization registered as a general practice in Canton, Georgia and active in the NPI registry since December 2018. The organization lists Poya M Moghadam, Owner, as its authorized official.

NPPES Registry Identity

NPI1891267316

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCANTON MARKETPLACE DENTISTRY LLC

Location Address1810 CUMMING HWY STE 900Canton, GA 30115-2999

Mailing Address1810 Cumming Hwy Ste 900Canton, GA 30115-2999 · (678) 880-0087 · Fax (678) 880-0059

Phone(770) 780-2465

Fax(678) 880-0059

Organization SubpartNo

Authorized OfficialPoya M MoghadamOwner · (678) 880-0087

Enumeration DateDecember 21, 2018

✔ NPI 1891267316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1810 CUMMING HWY STE 900, Canton, GA 30115

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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 Canton Marketplace Dentistry LLC's NPI number?

The NPI number for Canton Marketplace Dentistry LLC is 1891267316. It was assigned to this organization in the NPPES registry on December 21, 2018.

Where is Canton Marketplace Dentistry LLC located?

Canton Marketplace Dentistry LLC is located at 1810 Cumming Hwy Ste 900, Canton, GA 30115. The listed phone number is (770) 780-2465.

What is Canton Marketplace Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Canton Marketplace Dentistry LLC was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.