CANDLER ROAD DENTAL, PC (NPI# 1841387446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841387446 |
| Entity Type | Organization |
| Organization Name | CANDLER ROAD DENTAL, PC |
| Other Organization Name | KOOL SMILES |
| Practice Address |
4519 Woodruff Rd Ste 10 Columbus GA 31904-6091 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 7066608001 |
| Practice Fax Number | 7066608002 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | DR. TU M 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 |
| 1740375344 | Candler Road Dental, PC | Dentist | 5495 Old National Highway, Atlanta, GA 30349 | 2006-10-03 |
| Street Address |
4519 WOODRUFF RD STE 10 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-6091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033193693 | David Michael Burnette | Dentist | 4519 Woodruff Rd Ste 10, Columbus, GA 31904-6091 | 2005-12-06 |
| 1922448117 | Jennifer Marie Homer | Dentist | 4519 Woodruff Rd Ste 10, Columbus, GA 31904-6091 | 2013-07-02 |
| 1518986942 | Hazel P. Haynes | Dentist | 4519 Woodruff Rd Ste 10, Columbus, GA 31904-6091 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| 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 |
|---|---|---|---|---|
| 1881208874 | West Broad Dental Partners LLP | Dentist | 4089 W Broad St, Columbus, OH 43228-1614 | 2020-09-07 |
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1760004592 | Stephanie Leigh Sforza | Dentist | 1511 Runaway Bay Dr Apt 1a, Columbus, OH 43204-4812 | 2020-05-14 |
| 1487293403 | Columbus Dental Corp | Dentist | 1641 N National Rd, Columbus, IN 47201-5579 | 2019-12-23 |
| 1699319509 | Justin D. Shiflett, Dds, Inc. | Dentist | 3805 N High St Ste 207, Columbus, OH 43214-3539 | 2019-11-04 |
| 1730721499 | Tanner Jameson Mitchell | Dentist | 3105 Middle Dr Ste A, Columbus, IN 47203-4472 | 2019-10-15 |
| 1588143838 | Mark Christopher Pagano | Dentist | 5478 N Hamilton Rd, Columbus, OH 43230-1320 | 2018-08-08 |
| 1336630128 | Annie Courtemanche | Dentist | 6499 E Broad St Ste 110, Columbus, OH 43213-6506 | 2018-05-29 |
| 1619468766 | Blue Ridge Community Health Services Inc | Dentist | 158 White Dr, Columbus, NC 28722-9465 | 2018-05-24 |
| Find all providers in COLUMBUS | ||||
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| 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.