CANDLER ROAD DENTAL, PC (NPI# 1114014719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114014719 |
| Entity Type | Organization |
| Organization Name | CANDLER ROAD DENTAL, PC |
| Other Organization Name | KOOL SMILES |
| Practice Address |
2900 S. Cobb Drive Suite B-2 Smyrna GA 30080 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 6784535665 |
| Practice Fax Number | 6784535666 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2006-10-06 |
| 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 |
| 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 |
| 1740375344 | Candler Road Dental, PC | Dentist | 5495 Old National Highway, Atlanta, GA 30349 | 2006-10-03 |
| 1841387446 | Candler Road Dental, PC | Dentist | 4519 Woodruff Rd Ste 10, Columbus, GA 31904-6091 | 2006-10-06 |
| Street Address |
2900 S. COBB DRIVE SUITE B-2 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1669092573 | Next Level Dental, P.C. | Dentist | 693 President Pl Ste 101, Smyrna, TN 37167-8602 | 2020-04-21 |
| 1568932341 | Tennessee Dental Professionals, PC | Dentist | 1730 Lee Victory Pkwy, Smyrna, TN 37167-6674 | 2018-12-05 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1366939340 | Smyrna Family Dentistry Pllc | Dentist | 1450 Sam Davis Rd Ste 120, Smyrna, TN 37167-2754 | 2018-04-16 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1548680762 | Yewande O. Oye-somefun | Dentist | 440 Sam Ridley Pkwy W, Smyrna, TN 37167-2998 | 2014-04-27 |
| 1811229719 | Tennessee Dental Professionals PC | Dentist | 315 Sam Ridley Pkwy W, Smyrna, TN 37167-5625 | 2010-02-03 |
| 1134314941 | Robert Lynn Smith | Dentist | 1347 Rock Springs Rd, Smyrna, TN 37167-6108 | 2007-09-14 |
| 1720281108 | Roger T. Bell, Dds.pc | Dentist | 4450 S Cobb Dr Se, Smyrna, GA 30080-6329 | 2007-06-06 |
| 1043420797 | Roy H Johnson | Dentist | 997 Windy Hill Rd. Se, Suite C, Smyrna, GA 30080 | 2007-05-23 |
| Find all providers in SMYRNA | ||||
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.