Provider Demographics
NPI:1962203695
Name:TOOTH AND TOX
Entity type:Organization
Organization Name:TOOTH AND TOX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RHODA-LEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:404-406-9918
Mailing Address - Street 1:2015 FERN MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-3311
Mailing Address - Country:US
Mailing Address - Phone:404-406-9918
Mailing Address - Fax:404-406-9918
Practice Address - Street 1:954 SEVEN HILLS CONNECTOR STE 104
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-8101
Practice Address - Country:US
Practice Address - Phone:470-517-0377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental