Organization · Type 2 NPI

Georgia Endodontic Specialists

Endodontics · Tucker, GA

NPI number 1891606596 Active

Practice location

3575 Habersham At Northlake Bldg L
Tucker, GA 30084-4001

Specialties and licenses

Taxonomy	Code	License
Endodontics Primary	1223E0200X	None listed

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.

NPI record

NPI: 1891606596
Entity type: Organization (Type 2)
Issued: Sep 14, 2026
Last updated: Sep 14, 2026
Status: Active
Subpart: Yes of Georgia Endodontic Specialists

Other names

Georgia Endodontics - Tucker · doing business as

Authorized official

Michaela Muniz
VP, Payor Relations
(469) 324-3242

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About NPI 1891606596

Georgia Endodontic Specialists's National Provider Identifier is 1891606596, issued on Sep 14, 2026. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Tucker, GA. The record was last updated on Sep 14, 2026.