PINNACLE ENDODONTICS OF CRABAPPLE, LLC (NPI# 1538665963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538665963 |
Entity Type | Organization |
Organization Name | PINNACLE ENDODONTICS OF CRABAPPLE, LLC |
Practice Address |
12250 Crabapple Road Alpharetta GA 30004 |
Mailing Address |
975 Peachtree Pkwy Ste B Cumming GA 30041-6802 |
Practice Telephone | 6783410489 |
Mailing Telephone | 7706240029 |
Mailing Fax Number | 7706240029 |
Enumeration Date | 2018-04-04 |
Last Update Date | 2018-04-04 |
Authorized Official Name | DR. CAMERON MICHAEL HOWARD (OWNER) |
Authorized Official Telephone | 7706240029 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
14985 | GA | Dental Providers |
Y | 1223E0200X |
Dentist Specialization: Endodontics |
14143 | GA | Dental Providers |
Street Address |
12250 CRABAPPLE ROAD |
City | ALPHARETTA |
State | GA |
Zip Code | 30004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366065823 | Rena Wilson | Neuromusculoskeletal Medicine, Sports Medicine | 3442 Francis Road Suite 130, Alpharetta, UNITED STATES 30004 | 2020-05-19 |
1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
1881109684 | B.spectacled | Optometrist | 50 Canton Street, Ste 112, Alpharetta, GA 30004 | 2017-12-04 |
1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
1043696735 | Caregiver Health Solutions, LLC | Home Health | 3505 Peacock Rd, Alpharetta, GA 30004 | 2015-08-04 |
1124418371 | Francella Bonilla | Physical Therapy Assistant | 4805 Waterbrooke Xing, Alpharetta, GA 30004 | 2015-01-27 |
1548672082 | Crabapple Smiles Dental Group PC | Dentist | 12460 Crabapple Road, Suite 801, Alpharetta, GA 30004 | 2014-06-02 |
1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
1093053571 | Ascenda Biosciences, LLC | Clinical Medical Laboratory | 2001 Westside Pkwy Ste 240, Alpharetta, GA 30004 | 2013-01-18 |
Find all providers in zip 30004 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790288678 | Crabapple Endodontics | Dentist | 12385 Crabapple Rd Ste 150, Alpharetta, GA 30004-6357 | 2018-03-16 |
1356643407 | Christopher W Glass | Dentist | 4205 North Point Parkway, Bldg G, Alpharetta, GA 30022 | 2010-11-23 |
1790085041 | Randall A Coggins | Dentist | 4205 North Point Parkway, Bldg G, Alpharetta, GA 30022 | 2010-11-02 |
1952506891 | Tracie M Zielinski | Dentist | 4205 N Point Pkwy, Bldg G, Alpharetta, GA 30022-8808 | 2007-06-20 |
1376645614 | Stephen Alan Parente | Dentist | 5755 N Point Pkwy, Suite 8, Alpharetta, GA 30022-1142 | 2006-09-05 |
1588694517 | Randall A. Coggins Dmd,ms | Dentist | 4205 N Point Pkwy, Bldg G, Alpharetta, GA 30022-8808 | 2006-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437764180 | John O. Green, II, Dds, PC | Dentist | 6126 Prestley Mill Rd Ste J, Douglasville, GA 30134-5624 | 2020-09-10 |
1104434232 | Conyers Endodontic Center PC | Dentist | 1920 Highway 20 Se Ste A, Conyers, GA 30013-2048 | 2020-07-15 |
1326552522 | Lucas Blaine Connor | Dentist | 3625 Braselton Hwy Ste 101, Dacula, GA 30019-4696 | 2017-11-27 |
1710382007 | Golden Isles Endodontics, LLC | Dentist | 1804 Frederica Rd Ste B, Saint Simons Island, GA 31522-2044 | 2014-10-29 |
1346644176 | Liberty Trails Endodontics, LLC | Dentist | 111 E Mills Ave, Hinesville, GA 31313-2616 | 2014-10-22 |
1194136929 | Jimmy W. Arnold | Dentist | 152 N Crest Blvd Ste A, Macon, GA 31210-1847 | 2014-05-14 |
1629418371 | Young Okeke | Dentist | 6595 Roswell Rd Ste G-3040, Atlanta, GA 30328-3152 | 2013-06-26 |
1720342694 | Lake Oconee Endodontics, LLC | Dentist | 112 Harmony Crossing, Suite 1, Eatonton, GA 31024-9536 | 2012-06-26 |
1275891541 | Alison Stpaul | Dentist | 1705 Ga-20, Suite 200, Mcdonough, GA 30253 | 2012-04-24 |
1780942144 | Marcus Robert Miller | Dentist | 2151 Fountain Dr Ste 206, Snellville, GA 30078-6753 | 2012-04-23 |
Find all providers with the same taxonomy |
City | ALPHARETTA |
Zip Code | 30004 |
Please comment or provide details below to improve the information on PINNACLE ENDODONTICS OF CRABAPPLE, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.