Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northwest Endodontic Specialists, PC

Organization Endodontics · NPI 1700058302

Northwest Endodontic Specialists, PC is an Endodontics in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2205 Riverstone Blvd Ste 205
Canton, GA 30114-5227
Phone: (678) 493-6693
Fax: (678) 493-6694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 10232, 10416 (GA)

Record details

NPI number1700058302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richardson Odum — President · (678) 493-6693
Other names Canton Office
NPI enumeratedMarch 24, 2008
Last updated in NPPESMarch 24, 2008
Mailing address2205 Riverstone Blvd, Suite 205, Canton, GA 30114-5227

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