P Praxis·MD
● Active Type 2 · Organization

Northwest Endodontic Specialists, P.c.

Dentist·Canton, GA· NPI 1700058302 · Enumerated 2008 · 18 years on NPI
Northwest Endodontic Specialists, P.c. is 1 of 200 dentist organizations in Georgia.
NPI age
18 years
Enumerated 2008-03-24
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Odum
President
Last NPPES update
2008-03-24
Source: monthly bulk 2026-05

How this organization compares

Across 200 active dentist providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
2205 Riverstone Blvd, Suite 205
Canton, GA 301145227
📞 6784936693fax 6784936694
Mailing address
2205 Riverstone Blvd, Suite 205
Canton, GA 301145227
📞 6784936693fax 6784936694

Authorized official

Richardson Michael Odum, DMD
President
📞 6784936693

Specialties

  • Dentist Primary
    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...
    GA license #10232, 10416 taxonomy 1223E0200X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Canton office
    Type code 5 recorded 2008-03-24

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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