CANDLER ROAD DENTAL, PC (NPI# 1740375344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740375344 |
| Entity Type | Organization |
| Organization Name | CANDLER ROAD DENTAL, PC |
| Other Organization Name | KOOL SMILES |
| Practice Address |
5495 Old National Highway Atlanta GA 30349 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 4042235665 |
| Practice Fax Number | 4044205666 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | DR. TU TRAN (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Franklin Dental | Doing Business As Name - Organization |
| Kool Smiles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1366539892 | Candler Road Dental, PC | Dentist | 1386 Gray Hwy, Suite 1380, Macon, GA 31211-1952 | 2006-10-06 |
| 1205923802 | Candler Road Dental, PC | Dentist | 1756 Candler Road, Decatur, GA 30032 | 2006-10-06 |
| 1114014719 | Candler Road Dental, PC | Dentist | 2900 S. Cobb Drive, Suite B-2, Smyrna, GA 30080 | 2006-10-06 |
| 1932296530 | Candler Road Dental, PC | Dentist | 4458 Jonesboro Road, Forest Park, GA 30297 | 2006-10-06 |
| 1841387347 | Candler Road Dental, PC | Dentist | 4054 Buford Highway, Ne, Atlanta, GA 30345 | 2006-10-06 |
| 1023105624 | Candler Road Dental, PC | Dentist | 4030 Lawrenceville Highway #13, Lilburn, GA 30047-2823 | 2006-10-06 |
| 1841387446 | Candler Road Dental, PC | Dentist | 4519 Woodruff Rd Ste 10, Columbus, GA 31904-6091 | 2006-10-06 |
| Street Address |
5495 OLD NATIONAL HIGHWAY |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079143 | Bimala Gharti | Dentist | 7310 Village Creek Trce, Atlanta, GA 30328-6763 | 2020-09-28 |
| 1699385062 | Hetal Trivedi | Dentist | 930 Spring St Nw Unit 915-a, Atlanta, GA 30309-3816 | 2020-07-31 |
| 1013548577 | Dental Care 24 7 Staffing Atlanta, LLC | Dentist | 285 Centennial Olympic Park Dr Nw # Cu-2b, Atlanta, GA 30313-1834 | 2020-02-03 |
| 1013547173 | Sha-vashtiy Young-ufeli | Dentist | 587 Virginia Ave Ne Unit 5, Atlanta, GA 30306-3695 | 2020-01-16 |
| 1588210207 | Edgewood Smiles Dentistry, PC | Dentist | 144 Moreland Ave Ne Ste A, Atlanta, GA 30307-2660 | 2019-08-19 |
| 1912552464 | Casey Jean Shuster | Dentist | 999 Peachtree St Ne Ste 715, Atlanta, GA 30309-3964 | 2019-08-01 |
| 1306404389 | Gabrielle Coe | Dentist | 205 S Race St, Atlanta, IL 61723-7586 | 2019-06-04 |
| 1417513730 | Jordan Alexander Reznik | Dentist | 236 Perimeter Center Pkwy Ne Ste C-30, Atlanta, GA 30346-1402 | 2019-05-13 |
| 1316419666 | Vbdc of Woodstock, LLC | Dentist | 5909 Peachtree Dunwoody Rd Ste 800, Atlanta, GA 30328-8103 | 2018-12-27 |
| 1487136867 | Abby Lynn Halpern | Dentist | 1080 Peachtree St Ne Unit 2604, Atlanta, GA 30309-6836 | 2018-09-03 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on CANDLER ROAD DENTAL, PC.
| 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.