CANTON ENDODONTICSLLC NPI 1477412906

NPI Information

  • NPI: 1477412906
  • Provider Name: CANTON ENDODONTICS,LLC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 170 RIVER GREEN AVE STE 102
    CANTON, GA
    ZIP 30114
  • Phone: (943) 400-2911

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NPI Details

CANTON ENDODONTICS,LLC is an endodontics dentist in Canton, GA. The provider is 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. CANTON ENDODONTICS,LLC NPI is 1477412906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

170 RIVER GREEN AVE STE 102
CANTON, GA
ZIP 30114-685
Phone: (943) 400-2911
Fax: (943) 400-2880

The provider's authorized official is Iliana Moronta .
The authorized official title is Office Lead and has the following contact phone number (943) 400-2911.

The enumeration date for this NPI number is 1/20/2026 and was last updated on 1/20/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsYes

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: 11/21/2025

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