Provider Demographics
NPI:1588694517
Name:NORTH POINT ENDODONTICS
Entity type:Organization
Organization Name:NORTH POINT ENDODONTICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-664-6410
Mailing Address - Street 1:4205 NORTH POINT PARKWAY
Mailing Address - Street 2:SUITE G
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022
Mailing Address - Country:US
Mailing Address - Phone:770-664-6410
Mailing Address - Fax:
Practice Address - Street 1:4205 NORTH POINT PARKWAY
Practice Address - Street 2:SUITE G
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022
Practice Address - Country:US
Practice Address - Phone:770-664-6410
Practice Address - Fax:770-664-6972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty