ATLANTA ENDODONTIC GROUP PC NPI 1689961229

NPI Information

  • NPI: 1689961229
  • Provider Name: ATLANTA ENDODONTIC GROUP PC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Doing Business As: MCDONOUGH ENDODONTIC CENTER
  • Address: 1705 HWY 20 W
    SUITE 200
    MCDONOUGH, GA
    ZIP 30253
  • Phone: (770) 954-8672

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NPI Details

ATLANTA ENDODONTIC GROUP PC is an endodontics dentist in Mcdonough, 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. ATLANTA ENDODONTIC GROUP PC NPI is 1689961229. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mcdonough Endodontic Center.

The provider's business location address is:

1705 HWY 20 W
SUITE 200
MCDONOUGH, GA
ZIP 30253
Phone: (770) 954-8672
Fax: (770) 954-0074

The provider's authorized official is Rolin Desir .
The authorized official title is Endodontist / Owner and has the following contact phone number (770) 954-0072.

The enumeration date for this NPI number is 7/4/2011 and was last updated on 4/8/2022.

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
11223E0200XDentistEndodonticsDN013945GEORGIAYes

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This page was last updated on: 11/21/2025

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