P Praxis·MD
● Active Type 2 · Organization

Northwest Endodontic Specialists, P.c.

Dentist·Woodstock, GA· NPI 1801916069 · Enumerated 2007 · 19 years on NPI
Northwest Endodontic Specialists, P.c. is 1 of 200 dentist organizations in Georgia.
NPI age
19 years
Enumerated 2007-03-30
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Odum
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 200 active dentist providers in Georgia.

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

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
271 Heritage Walk
Woodstock, GA 301883876
📞 7709240423fax 7709249222
Mailing address
271 Heritage Walk
Woodstock, GA 301883876
📞 7709240423fax 7709249222

Authorized official

Richardson Michael Odum, D.M.D.
President
📞 7709240423

Individual providers at this organization

3 individual providers on file at this primary practice address.

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

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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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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