OrganizationActive
MD Endodontics, LLC
NPI 1215619069 · Endodontics · Saint Simons Island, GA
MD Endodontics, LLC is a Endodontics organization in Saint Simons Island, GA (NPI 1215619069).
Provider details
- NPI number
- 1215619069
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Diandreth, President(912) 268-2800
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1804 Frederica Rd Ste B
Saint Simons Island, GA 31522-2044
Phone: (912) 268-2800
Street-level locationGet directions
Mailing address
1804 Frederica Rd Ste B
Saint Simons Island, GA 31522-2044
Additional practice locations (1)
- 130 N Gross Rd Ste 103Kingsland, GA 31548-6263Phone: (912) 955-4580Fax: (912) 955-4584
Registry dates
- Enumerated
- 2023-08-02
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Frequently asked questions
- What is MD Endodontics, LLC's NPI number?
- MD Endodontics, LLC's National Provider Identifier (NPI) is 1215619069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is MD Endodontics, LLC?
- MD Endodontics, LLC is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is MD Endodontics, LLC located?
- MD Endodontics, LLC's practice location on file with NPPES is 1804 Frederica Rd Ste B, Saint Simons Island, GA 31522-2044.
- What is MD Endodontics, LLC's phone number?
- The practice phone number listed in the NPPES registry for MD Endodontics, LLC is (912) 268-2800.
- Who is the authorized official for MD Endodontics, LLC?
- The authorized official listed on MD Endodontics, LLC's NPPES record is Matthew Diandreth, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is MD Endodontics, LLC's NPI active?
- Yes — MD Endodontics, LLC's NPI (1215619069) is active in the NPPES registry as of the last update on 2024-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.