OrganizationActive
Northwest Endodontic Specialists, P.C.
NPI 1700058302 · Endodontics · Canton, GA
Northwest Endodontic Specialists, P.C. is a Endodontics organization in Canton, GA (NPI 1700058302).
Provider details
- NPI number
- 1700058302
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Richardson Odum, President(678) 493-6693
- License
- 10232, 10416 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2205 Riverstone Blvd
Suite 205
Canton, GA 30114-5227
Phone: (678) 493-6693
Fax: (678) 493-6694
Street-level locationGet directions
Mailing address
2205 Riverstone Blvd
Canton, GA 30114-5227
Other names (DBA / former)
- Other name
- Canton Office
Registry dates
- Enumerated
- 2008-03-24
- Last updated
- 2008-03-24
Frequently asked questions
- What is Northwest Endodontic Specialists, P.C.'s NPI number?
- Northwest Endodontic Specialists, P.C.'s National Provider Identifier (NPI) is 1700058302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Endodontic Specialists, P.C.?
- Northwest Endodontic Specialists, P.C. is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Northwest Endodontic Specialists, P.C. located?
- Northwest Endodontic Specialists, P.C.'s practice location on file with NPPES is 2205 Riverstone Blvd, Canton, GA 30114-5227.
- What is Northwest Endodontic Specialists, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Northwest Endodontic Specialists, P.C. is (678) 493-6693.
- Who is the authorized official for Northwest Endodontic Specialists, P.C.?
- The authorized official listed on Northwest Endodontic Specialists, P.C.'s NPPES record is Richardson Odum, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Endodontic Specialists, P.C.'s NPI active?
- Yes — Northwest Endodontic Specialists, P.C.'s NPI (1700058302) is active in the NPPES registry as of the last update on 2008-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.