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CANDLER ROAD DENTAL PC NPI 1205923802


NPI Information

NPI: 1205923802
Provider Name: CANDLER ROAD DENTAL, PC

Doing Business As: KOOL SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1756 CANDLER ROAD
DECATUR, GA
ZIP 30032
Phone: (404) 591-5665
Get Directions

CANDLER ROAD DENTAL, PC is a general practice dentist in Decatur, GA. The provider is 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. CANDLER ROAD DENTAL, PC NPI is 1205923802. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kool Smiles.

The provider's business location address is:

1756 CANDLER ROAD
DECATUR, GA
ZIP 30032
Phone: (404) 591-5665
Fax: (404) 591-5666

The provider's authorized official is Tu Tran .
The authorized official title is President and has the following contact phone number (770) 916-5036.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 3/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsNo
21223G0001XDentistGeneral PracticeYes
31223S0112XDentistOral and Maxillofacial SurgeryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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